30838 (2) 7590 Erin
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FORfUILDING PERMIT 5, 10-3
Date... --------------------------- 19. )rmlLt No... ---...10-g.39 --
--- --
-- -------------------::......
-----------/--------
....
App ca as—
Date-------!/a-
is hereby made'for a permit to....-.
story, Type----- --- .........................----.........Building
at.----....----....- ................OCCUpi ..............
to beas.......
. .......
ad only as.
in accordance with Plans, S a
P ificafi ns an/d Yf'lot-p a filed ere
Estimated Value of Improvements,
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 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.
4. 114?1t#t4&
Owner. ...--..... - 2 - ele.. ...Address.
5�� ['.._Address............--------1-f-
-------------------------- -------------------
By.....4 . &
Contractor. Agent
Form T�qo Erin <o, Loma Verde Const.
RECORD OF INSPECTION
Foundtion 6 7. -
--------------*----------------------- ----------- �Fra e�...... ------------------
Stucco....... ------------------------ A-"A
................. .................
Z/,p 31,p