32364 87� ROSH BlosS16m
CIT* OF SAN JOSE I I BUILDING DEPARTMENT
APPLICATION F R UILDING PERMIT
Date---.... ........................ Permit No...9 .i A --------------
Ap�l.ica i, n is hereby made fo permit to..... ...... .. .. ...................._..........................
t , -Z_� —
01
a....----..
s.......... . ...s T e.lz .. ... .. . .... . . . .. . .... ....... ..............Building
tory, Type.
at.----................ 7. 3. .. ______ ...
------ ------------ ... . ..... -------------
------- ...?
�/............
to be occupied only as----- ...f_� a. . . ....... ................ .. ... ...... .
cj�.n
in accordance with Plans, Sp cifications and Plot-plan filed herewith.
Estimated Value of improvements, $.-`Q..}
It is hereby agreed that the roquirementsfSan 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.
I certify that in the performance of the work for which this permit is issued I shall not employ any per
son in an, ma a, so as t b W tttt�o the workman's compensation laws of California.
Owner. dress---------------------------------------------------------- ------
By........ dress......... ------------------------------------------ ----- ----
Form
'913 Rose Blossom Loma verde
RECORD OF INSPECT!IFN
------------------------------------- ----------------------------------------------------------------
S>Ico.................................. ................................ ------- --------------
( 01 -7 60