31079 (2) 7675 Eiilri
CITY OF SAN JOSE BUILDING DEPARTMENT
PPLICATION FOR, BUILDING PERMIT k0-y—
Date... Permit No.......3z.a.7-f...........
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Applicationis hereby made for -a permit to...
story, Type-......7��_- -------- ------------------------------------Building
-----------/------- .. ............
t.............../
to be occupied ------ -- --- ...........
in accordance with Plans, specifications and Plot plan filed h-erewifh.
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 parf"rmance of the work for which this permit is issued I shall not employ any per-
son in so as to become subject to the workman's compensation laws of California.
Owner.//lit —Address._//z-���_
or---4!74 1 PC
By..... 9l Address--------------------------------------------- ---- ---
Contract r,.Agenf
Form 280-' 675 Erin Loma Verde
RECORD OF INSPECTION
Foundation----_---------------------------------- Frame
Stucco...-....------------------------ ---------------------------------Finish-------� -----------------------------------------
117.3,13