804 881 Lily
CITY OF SAN JOSE BUILDING DEPARTMENT
�L-
APPLICATION FOR BUILDING PERMIT . .96'
Date-------------,--/- ' --—------------ _A�_ Permit No------------------------------------------
Application is hereby ma a for a p rmit ..............................................
a------------f---.story,
--------------�_.story, Typ ------------------------------------------------------------Building
at................... ---
be occupied only as..... --- ---aZG . .... -------------..._--i------------. -----
in
--------------------i------ -------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
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 corn-
plied with.
certify that in the performance of the work for which this permit is issued I shall not employ any
. ' ' '
per-
son in any so as to bee b' t to the w *mens compensaf,onIws of C u rn,a
Owner . ... .
By---------------- --------
-------------------
.........Address..
---------
Form 280-8 Contractor, Agent Loma Verde
81 Lily
RECORD OF INSPECTION
. .....................................
F 0 on.11MI &U ...Frarne.A-.J.-�
,.9�afl
Stucco............................................ ------C--....Finish----......
..............................................
'Y s—y0
YF 2