30504 (2) 869. Lonna
CITY OF SAN JOSE {BUILDING DEPARTMENT
APPLICATION F BUILDING PERMIT °3
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Date.................... 3SPermi# o. .... - .6...
Application is hereby mate for a' ermit to....../f,1 .... ......................................._----------
a------..�....... r , TYPe--- - - --------------------------------------Building
at.....................Z.. - —! �/�J? .....:�.. .. -------- ..... `... ..
to be occupied only ......./ ------- ....-/ - - ------
in
----in accordance with an Specifications of-plan filed here i h.
Estimated Value of mprovem nts $---- --- ---- ------
It is hereby agreed hat the r uir ants of J uilding and Zoning Ordinances and all other
laws applicable to the constru io ocation, a d use of buildings within the City of San Jose, will be com-
plied with.
I certify that in the rmance of the w A or which this permit is issued I shall not employ any per-
son in any manner so as to b ome subject to the we kmen's commpennssattiion llawss Doff California. / o
Owner- .-. .. - - -....Address--./.... .%4.�If[►eiiwl!!- -•
By..... --- �£'�lp.......Address-----------------H--------------------------------... P.--
Contractor. Agent
Form 280-1 869 Low Loma Verde 0.onst.
RECORD OF INSPECTION
Foundation..... --------------Frame=---
Stucco
------------------ ..........
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