31276 874 St6iiiAg sL
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.........7//-S.... .................... 19.L�. Permit o_1z,.7...�'_(p----------------
Application is hereby made for .5 permit to-- ...✓...................... ..................................
a----------f------story, Type----- A; ..........................Building
at.............................. ...... ------------------------
W--- ---
be occupied only as...._ ----------- ------ ----- ----------- ------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of lmprovemen+s, $..,/��0.0-C2.
It is hereby agreed that the roquiroments 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-
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 workn,on's compensation laws of California.
Owner__601_;.1,- _/aA4._� &.Adclress...
By -------------Address.....-...... R—----------------------------------
......... ..... ...
Contractor. Agent
Fo,m 280.1
874 Stelling s-7 Loma Verde
RECORD OF INSPECTION
Foundation.... . .... .. .. ......j---- e
---------------F-�rame....-- - --------------------------------------------------------
Stucco..................-------------------------------------------------Finish---/ ..........