31079 7661 Er4ii
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOB, BUILDING PERMIT -5701L
FOB,BUILDING
Date............ -------
----------------119, Perry& No._21...42.77---------------
ApplicatVi-Is I hereby made for a pe'r�nit to.....
0.eee_ .. ......................................
a---------- story, Type./_��__R,4�!P ... ..................--------------"'------------'-'Building
I
at......... ........... ------ e� . .. ................. ..........
-------- ---- -----
...�y__ A . 4.. 1 -_ . ... ......... ...... ......
to 6e occupied 0, .4 -- /P
in accordance with Plans, pec/ifii:c;at!oft/, d aPI11 n ith'.
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 performance,of the work for which this permit is issued I shall not employ any per-
son in any anner so as to becomo,subject to the workmen's compensation laws of California.
Ow p---.Address..//rte-{-----
Owner---------- -- --------- .. ... - ------- �Adcl
By.... . ..A,...Address..--....`.. -----------------------------------------------
Contractor, Agent'l
Form 280-1 7661 Erin Loma Verde Const .
RECORD OF INSPECTION
Foundation.....------------------------ Frame
'2
Stucco.........._ --- ---" . ----------Finish------------- ,;, - -T7
.......................................................
7313
32S-LVI go