NO PERMIT NUMBER 820 Hote Blossom
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION F R B ILDING PERMIT ooel Iz-
Date-----------/ .-..19y1.Q. Permit.No----------------------------------------
Application
----------------------------------------
Application is hereby mad ji for a or it to ..� .............................................
a------------/--.story,
-------------/_story, Type-' --
-------------- ---------------Building
e ----------------------
at--------------40-010---- . ..j
to be occupied only as..... - - ----------- -- ... ........................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements. $.../_3..
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-
pliedwith.
I certify that in the performance of the work for which this permit is issuadri shall not employ any per.
f if
son in any m"ner so as to 6 f t the w r men's comp fi n aw o Ca,ornia. I
T T Tn
re,
Ow gW 15..Address--m
Owner . ...... Wt
4_
.4"--- ------Address....................A.........................................
By-----------Lo
Confractor, Agent
Form 280-1820 Rose blossom Loma Verde
RECORD OF INSPEC//T/IION�y
Foun ion------- 60� T /
......................Frame--- ......... .
v-�
Stucco. — —... mash.-----`�-'��-�I �.............. .......
10 3035 -7
P gg861