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35938 (2) 6 OF SA i0�6S"�Fe� BUILDING DE"RT4NT APPLICATION/FOR BUILDING PERMIT"X--,,,9-z1#A Date------ ........ 19--- "Permit No.--,? U4e----------------- Application is hereby d fora,Rermif to ---------------------------------------- a------/-------`-story, Type--- ---- ---------- --- ----- - - -- --------------------- Building at -----------------------�. --- ------- f-. to be occupied only as -------........... in accordance with Plans, Specifications and Plot plan filed herewith. Estimated Value of improvements, $......1. 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 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 manner EfcodestVio'go I 1.workman's compensation laws of California. ye Owner---------- ..........Address ------------------------------------------------------------- By ---�,4 ...... ... Address ------------------------------------------------------------ Contractor, Age Form 280-1 RECORD OF INSPECTION Found Frame -------J"__3/- ---—---------------------- -- ----- ----- ------ Stucco ------------------------------------------------