30656 (2) 7616, Erlil
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION F U WING PERMIT
7
Date.-----......... ..... 19 Permit No.... F00-i—L................
.Y__ `2
Application is hereby made for a p It to......4014-1114pe-----.....................................
story, Type- ............... ................------------------------------Building
..
- - - -- - ------------------- .... ... .............. .........
...................I------
to be occupied only as---.-.....-.--... ...... . - ---------- -- . ....
in accordance with Plans, Specifi ions and Plot-Plan filed herewi
Estimated Value of Improvements,
f the It is hereby agreed that the requirements o Lin Zg
,!,ncl,Zo�irg Ordinances and all other
laws applicable to the construction, location, and use of buildings within the ify of an 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•
'on in any me r so as to be ma sub•ac4 to ha workmen's compensation laws of California.AP----
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0 k I"
ByAddress----- -----------------------------------------------------------
Form 280.1 7616 Erin Loma Verde
RECORD OF INSPECTION
Foundation- --��/ ✓Y-- ---- ..... .Frame..............................�j.
�y-- ------.... ....... .......
Stucco----------------------------------------------------------------Finish-..._7-..._L_^ / ....