NO PERMIT NUMBER 814 Rose Blossom
CITY OF SAN JOSE / BUILDING DEPARTMENT
APPLICATION F R BUILDING PERMIT
Date-------------- V.1$----—--------- 194,G.. Permit t4o._'................................
Application is hereby mad fora permit o... ------------------------------------------------
a------------ ----story, Typ --- .............Building
at...---'---- ....... ..... ... ....... .........................
to be occupied only as-----/--- ------ . ....filly -- -----------
in
----------------
in accordance with Plans, Specificafions and Plot-plan filed herewith.
Estimated Value of Improvements. $.--14.
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 com.
plied with.
certify that in the performance of the work for which this permit is issued I shall not employ any per•
jec h k en.s compensation laws :f KC11fornia.
son in any nor so as to b ome su t—to t a WX!m
Owner- &;%qtV.Acldress_g��SWA
BY--'--------- ------- ------- ... .. ............Address------------------------41---------------------------
Contractor, Agent
Form 2BO-1 814 Rose Blossom Loma Verde
RECORD OF INSPECTION Q p
Fou wn. .(= .................-- Frame.. JV.- -Q---1! Tw :..... - ...
Stucco............................................................----....Finish.... - .......................`9e[%4-.....................
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