30656 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