30504 (2) 821 Lonna
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FgR,,B4IL IPTG PERMIT
'...
Date---PP-- �iz____.
' --.. 19. 23J-JPermi+ No. ------
Application is here mad r "a a mitt to..... ----------------------------------------
by
--------------------�.._�..---- :.
., a-------- -------story, Type--.11.eY .... ------------------------------------------Building
+....................ri/.......... t 1
--- ---
to be occupied only as........... ---- ---- r.3/�t.,:.-.. - . .� - ---- ----
in accordance with Plans, S cifications and PI o -plan t
Estimated Value of Imp Yom nts, $-
It is hereby agreed that he re iremen of e I J so wild' d oning Ordinances and all other
laws applicable to the cons ruction locati n, e e f i in the City of San Jose, will ba com-
plied with.
I certify that in the perfo mance of he work for w ;ch this permit is issued I shall not employ any per-
son in any nner so as to oma j�to the work non's compensation
laws of California.
• Owner-- - "- --'-- - - ' ... ..........I...1ddress..f.L..- L... l -�lifra<1--
By...... %! -- . et. ..-. ddress - - - .....-.-..-----------------------------y---""""
Contractor, Aglent
Form 2901
821 Lonna Loma tarda Const.
RECORD OF INSPICTION
Foundation..... -------------------Frarne'....
Stucco.....---------... -------. .........------------ 'Opp—
... Finish-----/t.... ....................................................