30656 (2) 7595` grin
CITY OF SAN JOSE BUILDING DEPARTMENT
f
APPPLICATION FOUILDING PERMIT -03
Date.......- '-G —.— 19.5- �QPermi# No.... .�.., b..... ..._Appin is hereby me a for a permit to!w!�C.- ........................... .................
a' .... story, Type, ..._:.— ------- '---------------- - Building
111 / - .
to be occupied only as..... ...... fr1�t,.S..Z- - _.--. ----( -- -- - '.... ---------
in accordance with Plans, Specifications a�d'P of=plan . i ed the e i !
Estimated Value of Improvements, $....j.a. "U.
It is hereby agreed that the requirements of the San Joso 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 anner so as to become subject to the workmen's compensation
laws 2f California..
Own er_._.. _d&;'t
..a;lM .-'-.Address- 6I Ze �� 4-1
B = . �L��! �L
Y-' : .......Address......4-------- -----------------------
Contractor: Agent 11 1
Form 2e0-17595 Erin Loma Verde
RECORD
OOF- INSPECTION
Foundation._.---...r '-�� 4L�'. Frame..-._.../.._-y.....b�'��`�
stucco,-,--------------I--.------- ---------------------------_Finish. ✓wlra
417f i q� 4/P73
P 3�z f& 32gs�