47444-F 829 Rose Blossom G
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No..R f-i5rLot No.../....Z...........
Date.................................7"-�-..... 19..4. /� Permit No....
Application is hereby ma for permit to .....tfrza/.........................
a........./......story. Type--- - .5--' - ---- -'-- . ...-'--...........:.. Buik6g
at .... .�...(...... H.>C P,..... .""�Of1 l�i^ Use Zone.........................
P Y ( - /'Gtr/��� ..................
to be occupied only as ... ...Y... ...k.--.....�-.T.�.^I i ................
in accordance with Plans, Specifications
and Plot-plan filed herewith.
Estimated Value of Improvements, $... _!5z_............
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 complied with.
1 certify that in the performance of the work for which this permit is issued I shall not employ any person in
any manner rso as to violate the workmen's compensation laws of California.
Owner:9 ..._ 0!�rf' ' ---- ........
Cent
By Agent......�Y.4y� L.... - Address.Sas �� --rte
829 Rose Blossom Stan Horbourt
RECORD OF INSPECTION
Foundation... ... ...Frame........._..............................
.. ....... W 2? ...............
Stucco- ------------------------------------------------...........Finish._, .... ..
—5_rll?R'//5L5 A14 7— /,2 "Ic
FORM 280-1 -IO M-2/65