31276 819 __ C;�i�tr�n �ittt
CITY OF SAN JOSE �� � BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date..--------- - -- --- 19. r Permit o.. .. -,� S'----...-----
Applica on is hereby made for a permit to..... .... __U/:......-----.....----------------------••----
_ G - - - building
a —— ..story, Type-
- .... _-
at................_ - --- •-- s................. -
to be occupied only as---- --- -- -... . ................ . ...------------------- '
in accordance with Plans, Specifications/ann fi r i
Estimated Value of Improvements, $..-d- - L
It is hereby agreed that the requirements of fhe 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 shell not employ any per-
son in any
/manner so as tjo�becomee subject
7to�«the
,,workmen's compensation l�awss a California.
Owner? k1�?-/ L !*(4�.&..0f6)...Address.S.��� '?TTF
BY---- - 1..,�'"�...3r�.,_'-=Z-'---.....Address..................'....-.........................................
Contractor, Agent
wrm td q jGrimm 7 1 , s y Loma Verde (�Cnst .
RECORD OF INSPECTION
p-�
Foundation---•-
-
Fr � /G„ t
----._...............:.---.•--------.....--.--'._.. ame----••--' 7------Y-•----•----=-.._------=-'"-�=--------------
Stucco.......................................
r
8i9 , 5"'LiTht i 11.4
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR . BUILDING PERMIT �p
Date.- --------- ...... 'pe-Ernif-No... 07---z.6.............
1 0,
Applica on is hereby made for a permit to..... -------------...........................
--------------Z..,fory, Type--= --------------------------------- ---- ---- ----------------------------Building
at...---.._............................ ... ... ... ....................----------------------
to be occupied only as---/. ...... ----- .. ........................
in accordance with Plans,, Specifications an an f or if
Estimated Value of Improvements,
If is hereby agreed that the requirements of t a San Jose Building and Zoning Ordinances and all ofher
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied with.
, certify that in the performance of the work for which this permit is issued I shell not employ any par
son in any manner so as to become subject to the workmen's compensation laws oCalifornia.
Owner---- _ ..Y.Adclress.. .......... .......... .Address---------. ........... _------------------------------------------ ------
By ........
Contractoly. Agent
Form "�Jq Grimm Loma Verde Const .
W�
RECORD OF INSPECTION
Foundation.............. . .. .-........ ....... 403
..... .. .......Frame....
..... .... ..A.............
Stucco................................... ---------------- Finish ?-r51.......... v-1........
3 V a 2,)
3-r/