32364 869 - R066 bj_6566nj
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FF
WING PERMIT
Date--------/------ ---- ------------------------1 19_517--- No.0-2- 15 (v
---------- ------------------------
4e
Application is hereby made for a permit to_.... ;r .................................................i- . ..
a.------...I—----story, Type--- . . . ......---...Building
............ -_-Y-- ---- --- -- -------- -ft:.......................................
at...................
to be occupied only as.... ..............
/- ----- - -_ --------- ... .......4
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $..../
---- -
It is hereby agreed that the requirements of Z -----
e....S'a'n...Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose, will be com-
plied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to become subject to the workmen's compensation laws of California.
Owner.---e
wner---- - -------------------------------------- ---------------------------
By-------...-W-4 .......Address------------------------------------------------------------ ----
Contractor, Agent
Form Ig69 Rose Blossom Loma Verde
RECORD OF INSPECTION
Foundation..//p/�/�.,u........
............. -----.......... -----------
---------------
St
-------------------------------------------------------------......
(Do
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869 - R066 bj_6566nj
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FF
WING PERMIT
Date--------/------ ---- ------------------------1 19_517--- No.0-2- 15 (v
---------- ------------------------
4e
Application is hereby made for a permit to_.... ;r .................................................i- . ..
a.------...I—----story, Type--- . . . ......---...Building
............ -_-Y-- ---- --- -- -------- -ft:.......................................
at...................
to be occupied only as.... ..............
/- ----- - -_ --------- ... .......4
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $..../
---- -
It is hereby agreed that the requirements of Z -----
e....S'a'n...Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose, will be com-
plied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to become subject to the workmen's compensation laws of California.
Owner.---e
wner---- - -------------------------------------- ---------------------------
By-------...-W-4 .......Address------------------------------------------------------------ ----
Contractor, Agent
Form Ig69 Rose Blossom Loma Verde
RECORD OF INSPECTION
Foundation..//p/�/�.,u........
............. -----.......... -----------
---------------
St
-------------------------------------------------------------......
(Do
o ,