32364 (2) 835 Rosh D16s§ord
CITY OF SAN JOSE
I BUILDING DEPARTMENT
APPLICATION F ILDING PERMIT
Date--- --- - !1 - . .. ..
I 9';�.. Permit No* .. 3 �.��4_ ------------
Appliat."�is hereby e for a permit to..--. ---C. .................................................
.
...
a------...--- ....story, Type-- - ----- - ...... .. ....K.'------...Building
at...-'---...............................03- __....... ... .........................__
to be occupiod only as..---./ ------ .. . ..... .. .... ....... ----- .. ...................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
It is hereby agreed that the requirements oftKe/ San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, 16cation, 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 any manner so as to become subject to the workmen's compensation laws of California.
/4:0 �workmen's
-------------------------.......-------------_------ . .......
Owner---
------ - -....Address...........................:---............------
By.................? /4
Contractor, Agent
Rose Blossom Loma Verde
RECORD OF INSPECTION
Foundafion....
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