NO PERMIT NUMBER 878 Rose Blossom
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
. � -T
Date....... 077 ---------------196,0.. - Parmi No.........................................
A pp�l _// 2
Apple/cation is hereby made for a ermit o.... . .... ...I---- ------------- ..................................
_-7
.. .. ...................................Building
-----------/------story. Type...—;_ZZ..... . .... ... .... - ---- ------ --
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to be occupied only as....- '05— •.---,//--0 -------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicableto 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 any m nor so as to become
ub'j,
ect to the w kmen's compensation l.wk of California
Ow
Address...
By ------.Address......-----------u----------------------- -----------------
Contractor. Agent
Form 250.1 878 Rose Blossom 0 Loma Verde
RECORD OF INSPECTION
Foundation_.. -����i�.. *ode._Frame---
..
Stucco... ... -- 49