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37039 (2) . 1 7708 114– Carr' g j CITY OF SA ;�'VJYX�BUILDING DEPARTMENT PLICATION FOR BUILDING PERMIT ---- -- --- -- Daf .. .... .............. Appl- afton is hereb ' a 0 , jermif tZv_ --------------------------------------- ------7.story, Typ _:.... .. .. .... ------. ..r----. .. - ------------- -- --------------------­--------- Building to be occupied only as �---—­­ --------- ..... in accordance with Plans. Specificati s lot-4516rf trrxt�x 0 Estimated Value of Improvements.. $ _/...... 7-------- It is hereby agreed that the requirement of the San Jose Building and Zoning Ordinances and all other laws applicable tothe construction, location, and use of buildings within the City of San Jose, will be complied with. I certify that f i the performance of the work for which this permit is issued I shall not employ any. per- 'ry `/ a c We' in any I �As v'ollaf�fhe workmen's compensation laws of Califo a,, :n r t- ... .. . ..... ... . Addre4/ -- _- - ------- - - --- -------- 2---------...Address ---- ---- - ------------- ------- - ------------------------------------- Cont,ac' Agent Form 280.1 RECORD ,OF_ INSPECTION Founda+ion —7.0 / -- ---- �Freme Gµ. �4 g Sfucc -0.�t � /0 —( 9` Finish- -_ '- - n, J