30504 (2) 813 Lonna
CITY OF SAN JOSE i e.; BUILDING DEPARTMENT
APPLICATION FO BUI DING PERMIT
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Date---------- ---- --� --------� 19. 1 Psrmi No......... 4 ........
Applica n is hereby mad for a pe mit to....ff�-
- .................--------------... .... ..
o
.........................a--------/-------.story, TYpe.-„6F�—...---.'.."""".+'-”
.......----- -------`---.Building
at. ........... 5 — ---------- -*--------------------
to be occupied only as--------/. .-.I-- -_---------------- --- ---- -----------............
in accordance with Plans, ecifications and t-pla ed he ew'
Estimated Value of Impro em is. $- --- - --- ------ ---
It is hereby agreed that th requiremon of n se uilding and Zoning Ordinances and all other
laws applicable to the constr tion, local* a d us o buildings within the City of San Jose, will be com-
plied with.
I certify that in the perform nce o the work fo ich this permit is issued I shall not employ any per-
son in any manner so as to be ubject to the r men's compensation laws of California.Q�
Owner ... ._ ...-- - .:-�/(-/�/ 1 .. -'- --. ddresz. / 7.C...��1. -A.P
B - -
'�frF.?PlI---Address. ._.....-------------�-`---------------------------
y------ Contractor, Agent 1
Form 380.1
813 Lonna Loma Verde const.
RECORD OF INSPECTION
Foundafion..... ......Frame........
SfuccO-------------------------------------------------- -----------------Finis
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