30504 817- Lonna-Lane I ---I
CITY OF SAN JOSE '.��,, , .' BUILDING DEPARTMENT
APPLICATION I %. B
LDING PERMIT
Date------' ..-1C...'.- .....:---------- Permit No..-----. ..........
Appli, tion is hereby made for a permit to.---10 W. .....................................:a----/--------story, T a ------- .........................................................Building
...�5
. ...... -----------
at.--"-----------------g.3.... ......---- -------------- ------------------*---
---------
------------
to be occupied only a ------- .. ......... . .... .
in accordance with P1 ns, S cifications and Plot-plan filed h
Estimated Value of Iprovements,
It is hereby agreed the c nstruction, c tion so f ui n ih t the requir nts of he Jo B ing nd ning Ordinances and all other
laws applicable to t h 4 City of San Jose, will be com-
plied with.
I certify that in the pe or co of work for ich this permit is issued I shall not employ any per.
son in any anner so as to ecome subject to the w r en's compensation laws of California.
All
-------------— ----- ddress-//
Ow .... ..... . .. --- -- ---- ----- --- ----- - - ---------------------
An ly
By.
ddress........ --------------------_--------------- ---------------—. .."� . t
Contractor, Agent
For. 280-1
637 Loma Lane Loma Verde
RECORD OF INSPECTION
Foundation.--" ..............................1
�j� p �Q
Stucco..........................................................C% Finish--------
......._._L.....-'......-/---!.:/�/�.--