30656 (2) 7619 'Erin
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FCR, BUILDING PERMIT
1 Date.... ---- ------------------------195-7.... Permit No.............. ------_-----------------
Applica ion is hereby made for a permit to... --------------------------------------------------
a..........j....hfory, Type.... .•.r' 'P
.... ...................................................Building
vlu
_N......
at...........7-4-15------------
to be occupied only as.../4GV2 !. -W"
Z il
_48 7 a ferewit
in accordance with Plans, Specifications a pl n
,a d
Estimated Value of Improvements,
--- ----------------
if is hereby agreed that the requirement, 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 anyOner so as
By.... — to becorne subi&Ct
to
the wornan's co
mpensation lawsCalifornia.
- R
OWner---- -- 6 ..M4 .,-k ; ddress. - -- 114t
- —V4ew.
...... ......Address
----- --- --;.......
N------------------------------------------
Contractor,
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confractor, Agent
Form 280-1 7619 Erin Loma Verde
.RECORD OF INSPECTION
Foundation..... J-7 , -
--;?,
..................-.......----------------------- ...Frame...- ---------------
Stucco...----...---.... ---------------------------------- -----AOF�Wsh....... 2-
...........-----....................... ...........
/479/7