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36881 (4)� X707 C'�'Y' 2 CITY OF SA JOSE L0_/_2� i?t.i'bJ K BUILDING DEPARTMENT Q�APPLICATION FOR BUILDING PERMIT Da+e (/1.: .... ------------------- 19-� Permit No: (Ul---------------------- Ap/plication is hereby made for a permit to ....:3V-L.4.D......----'................._.---_........ a.........1------story, Type--- '-"-'---/2 .5---------------------------- ----------- Building at ---770 7------l-q e4 ... ... . ' W;r7 . /_, to be occupied only as --- in accordance with Plans„ Specifica/ d Plltf n � r siX Estimated Value of Improvements, $---vv��- 5- ----------------- It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws applicable to the construction, location, and use of buildings within the City of San Jose, will be complied with. I certify that in the performance of the work for which this permit is issued I shall not employ any per- son in any manner so as to violate the workmen's compensation laws of California. _..Address- /46,5 r�---------------Address _5 -------------------------------------------- Contr r, Agent - Form 280-1 RECORD.' OF' INSPECTION Foundation ...... 2, 'K,6 ------------------------------------------- ---- Frame r-- ...-.-..... -- - - --- ------ Finish:_: stuc -------------------------