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38446 (2) iler BUILDING DEPARTMENT WY SAN JOSE I :1 � APPLICATION FOR BUILDING PERMIT 2 (. 4 _ No. . ... . .... Lot No. - _ __ - Date...... CP_fn...Tracf.............. ......1 19------.. Permit No. --------------- Application is hereby made for a permit to _&U-D -- ------- a-----,--.....story, ------ ........ ...- -----------. Building at _.[10.3/1_ -------------- Occupancy t / e A� Use Zone __K Z- Occupancy Xl--------------- to be occupied only as FA_0__A6 --------- Parking Space L.__.._...__.. in --- ------- in accordance with Plans, pecifications and Plot-plan filed ha with. Pec"' Est ad Val m o eme f 0 .ir n s i u JAdamcesyamcl�afl other n)et j �)a t, le—k , hereby 8,, h nt fan se "In le'r n �a n n t tr. n location, )Iul g 4�4 r,c n, location, and use of u;d! s within the City of San Jose will be CN�Zjf. I & .r� that I car ify that �ithe performance of the work for which this permit is issued I shall not employ any per- son in any manner so as to violate the workmen's compensation laws of California. Owner ---&ir, ----------------- ---Address ...4 q_6..-...5) � ,7 Contractor ByAg.nt r ------------------Address ------- ------- ------------ ------------- Form *�*-913 Miller Av.e. Alfred F. Davis RECORD OF INSPECTION Foundation ..... --- .32-A/C _/rarye�-C.,Y--- --✓..."--�L-�!---_L.y"-'-UG.h,, Stucco ---------------------....------- -...-� Finish -re-. ,r , sissy