30656 7608- trlft
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO B
UILDING PERMIT 3
Date......... ...........
jaaj ..................
----------------------
Applicat.o, is hereby made or a p rmif to -- -----------------------
M,
----- - -7 -------------
---- _--P_�------------------------------------------------Building
---------/-----sfo!y, Typ
t .......... --------- ... . .....
to be occupied only as........
—in accordance with Plans. Specifications a lot-pi
Estimated Value of Improvements, $..,
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 the porformance.of the work for which this permit is issued I shall not employ any per-
son in any nner so a to b orno subioct to the wolmon-'s compensation laws of California.
OAddress...
Owner.
----- -- ---- . . _ .& - A
By-------- .... t.. . ...Address...... ---------------------------------------------- - ---- --
Contractor,"f4gent k
For. 280-1 6o8' Erin Loma Verde
7
RECORD OF INSPECTION
Foundation--..... ......Frame.......
-------------------------- ..... .........---------------------------------------------
Stucco-------------........... ........ ......... ...... 5,7 4 JVA
.............e;Cish.........7-.7
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