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30504 (2) 869. Lonna CITY OF SAN JOSE {BUILDING DEPARTMENT APPLICATION F BUILDING PERMIT °3 3 Date.................... 3SPermi# o. .... - .6... Application is hereby mate for a' ermit to....../f,1 .... ......................................._---------- a------..�....... r , TYPe--- - - --------------------------------------Building at.....................Z.. - —! �/�J? .....:�.. .. -------- ..... `... .. to be occupied only ......./ ------- ....-/ - - ------ in ----in accordance with an Specifications of-plan filed here i h. Estimated Value of mprovem nts $---- --- ---- ------ It is hereby agreed hat the r uir ants of J uilding and Zoning Ordinances and all other laws applicable to the constru io ocation, a d use of buildings within the City of San Jose, will be com- plied with. I certify that in the rmance of the w A or which this permit is issued I shall not employ any per- son in any manner so as to b ome subject to the we kmen's commpennssattiion llawss Doff California. / o Owner- .-. .. - - -....Address--./.... .%4.�If[►eiiwl!!- -• By..... --- �£'�lp.......Address-----------------H--------------------------------... P.-- Contractor. Agent Form 280-1 869 Low Loma Verde 0.onst. RECORD OF INSPECTION Foundation..... --------------Frame=--- Stucco ------------------ .......... 3