32975 ,
CITYi& SAN1J9
SEFt - BUILDING DEPARTMENT
g rAPPLICATION F UILDING PERMIT
Date...--,
Q..--- 196...., :_.. Permit No..-J.;--<?..7-r-._------
Application is hereby made for a permit to ... ----- - -
a ---------- Type
...�: - Building
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?,q
to
be occupied only as -------------- -- --- -----
in accordance with Plans, Specifications and n
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
complied 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 m nnar so as t/o violate the workmen. co pansetion laws of California.
Owner 1/—......fGS. �IJ"L-.t7Cd..Address ----------------------------------------------------------
.---- --
BY ----- - - ---- -----..Address -----------------------------------------------------------
Form 280-I
7B19�I ac Agent Loma Verde Const,
1 -
RECORD OF INSPECTION
Foundation ......' /- - ,- ;,,i z 3 ,
----------------------------------- Frame -------------------
Stucco ------- ----------------------------------- Finish--------------- --- -- -------- ---------