30656 (2) 7607 , 2rift
CITY OF SAN JOSE : ;,-BUILDING DEPARTMENT
APPLICATION WING PE3v6---.. ..
IT
Date------------- 17�** Permit NQ------ _5��---------------
-----------*' '9-* .
�arebTma'je
Applicati, n is y a permit to......Zg,&:_��-----------------------------------------
story, Type—..... . .....-----...... ------- ....... . ....----....--------........Building
........... ............... ... ....... -------r....... . ........ ......------ .........
to be occupied only es----.....- ------- ... .. . ....
in accordance with Plans, Specifications d P1 he
Estimated Value of improvements,
It is hera6y 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.
, certify that in the performance of the work for which this permit is issued I shall not employ any per•
son in an arn workmen's compensation laws q aliforn,
Owne Address__//.0----- -_ t-T. - _ -(
BY----- .. Address...... ...........j0?------------------------------
.
Form 280.1 Erin Loma Verde Const.
7607
RECORD OF INSPECTION
Foundation..........-` -------4-------6------`----aw -
.. -- -- -----.....Frame---------
stucco-.....................
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... ....--------------..-
...
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