32975 CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION F?R BUILDING PERMIT
Date.......... ........... 19 Permit No.-----3_A-_9_7_�7--------
Applic/,;on is hereby a for a erpif to --------------------------------------------
P� I
0 .... ....... Building
------story, Typ ------------- .- --- -,-;;
L"
to be occupied oZ_ C_nly as ......
in accordance wifhiPlans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $----/o/wI0.0--O------------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
lawsapplicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that in the Fie rformance of the work for which this permit is issued I shall not employ any per-
son in any so as to violate the workmen's compensation laws of California.
Owner
A�ar ;
-
....... .. .. .Address- -------------------------------------------------------------
ner -- ------------
............
By . ....._Z Address ----------------------------------------------------------------
...........
Form 280-1.7803 --------
Ce?cfor, Agent Loma Verde
1 ac
RECORD OF INSPECTION
Foundation a,.Y
Frame -d—�tl4ir t9
Stucco ------------------------------------------------------------ Finish ----- ct
------------ -------------