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30656 (2) CITY Of SAN JOSE BUILDING DEPARTMENT APPLICATION FOR WING PERMIT Fo3 z'r.............. Permit ................ Date_-------- i a Pe`,M,if #o---./// ------V ...................................... . ...... Application is hereby made for , - _ ;C9-- ----------------...."--"----Building 7 a_ story, Type ........................... ---------- ...... .............t) . ..... ..? ---- - - ------ ------ to be occupied only as----- c-i i a il �rewit in accordance with Plans, Sp._M:,.f1:i.ns �kl t V Estimated Value of Improvements. 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 com- plied with. I I certify that in the performance of the work for which this permit is issued I shall not employ any per- on i manner so as to become subject to the workmen's co/mp/eynsation/lbws law, f California. m a I!l Owner. foOY %4"_ AJ Address- C J .0� /, ft Address...---......_---:_k--------------------------------------- By---------i;rw V­W�l _41-M4.... Contractor. Agent Form 280-1 7583 Erin Loma Verde Const. RECORD OF INSPECTION -* ---- Fra Foundation....... --r ......2... - -------- -- -------------- ... . ...4�4------------- Stucco...........i----------------------------------------------------Finish......... . ......SJ )R.K/.0 33 7741