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33029 (2) CIT�VAN F"S 01 - "6iING DEPARTMENT 'APPLICATION FOR BUI ING' PERMIT Date----- ......................:......... mit No.J:5 0-- Pori . �-f. -------------------- Application is hereby mad fo' permit f --- ------- a------/_----story, 7-7Z,;?7;---------------- ------------------------------------------------------------Bu-ildin-g. p --------- -----I- ------- at //�Y/---�?)2r�a------ to be occupied only as - --------- in accordance with Plans, Specifications and Plot-plan filed herewith. Estimated Value of Improvements, $ - It is herelby agreed that the requirement!'Ph ran Josd ces 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 mapner s as to violate the workman's compensation laws of California. 0 e ... wnn ............... .... ....... "r.................Address By .......................................... ��.n ra=,,.n I Form 280.1 1131 _Ljer�yshire L?I-( J. Hunter RECORD OF INSPECTION .Foundation Frame J-,!76G.. Sltree*-------- ---------------------------------------------------- Finish 77J.� ---------fO