50323 845 Lonna
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ` s
TractNo.......................Lot No..........................
Date - -........�f// ................. 19-1-1 n_Permi+ No.........%...�-5'-..' 3----F---
Application is hereby made for a permit to ......... ?�"
a....... .........story, Type...... :�//..................... ....... ............--------------------...-----...-------. Building
�4-� Lo n.m ... .—L n"-" U
at ........................... ...-.-.. -......
....... ---- -------
+o be occupied only as .:.. - a....cov�/'-- Par ng p .. .. ...:?.---------
in accordance with Plans, S e icatio an Plot fa file er i 1
Estimated Value of Improv encs, "'
It is hereby agreed that the r quire nts of the San J so Building and Zoning Ordinances and all other laws
applicable to the construction, I 'on, and use of buil ,n s within the City of San Jose, will be complied with.
I certify that in the performance of the work for whi h his permit is issued I shall no! employ any person in
any manner so as to violate the workmen's compensatio I ws of California.
Owner T: .. '—--- ---� ---.-...-_...... dress. -�' y`5 -1 a/dr� L a�'E - .......
Contractor
By Agent------'---- ..._.....: -a. c?� ......---Address-...... .'1~:t....._ { y!.. -1�NF ..............
845 Lonna J . J. Boucree F
RECORD OF INSPECTION
Foundation----......-......----- ...............Frame..............---................
- - .....
Stucco......................-.........-------............ ........--Finish.......................................
- - .... ...
FORM 280-1 -IOM-2/B9