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30656 (2) 750-"' ErIIA CITY OF SAN JOSE ., BUILDING DEPARTMENT APPLICATION WING PERMIT Date ........... 19 permit. o.....90a5y_ ................................... Application is hereby made for a permit to... .......................................... ........................._............... a----------1-------story, Type__��.�_ _-- ---_-----------------; -------------..Building .. ..... at....... - ..----------- .........�N------ to be occupiod only as----- -- ------ - ------ ewit in accordance with Plans, Specifica o nd o pa fi 1, h. Estimated Value of Improvements, $--/.,3 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 certify that in 119 performance of the work for which this permit is issued I shell no, employ an, per- so a, to become sub' ct to the,workmen's compensation laws of California. any manner son inner r 47 Address./ .e*4f .......... . Owne By.... Address------ .......... ----------------------------------- ....... Contract ir, Agent Form 280.1 7589 Erin Loma Verde Ll RECORD OF INSPECTION Foundation----- ...................---------------------- Frarne!-/.?..� ............ Stucco------------------------------------------------------- ......:7- Finish.......11 .............................. 4 7 3377�1