803844 Rose B.1.6asord
CITY OF SAN. JOSE BUILDING DEPARTMENT
/APPLICATION FC Z—BUILDING PERMIT SO3
Date------- f-�� ------------- ...._......19�GQ... Permit No -----------------------------------------
Application is hereby madk for a permit to... - ....
a--- ------ /..... .story. Type.., ............. ---------------- .................-...Building�� ..&
rrv7
to be occupied only
in accordance with Plans, Specifications and Plot -plan A1edWeere4Gjllf W1�C--',.(f'
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.
certify that in the performance of the work for which this permit is issued I shall not employ any per
in any ner so as to a me su - cf to the en's commppenssaation I spoof California.
Owner..W _.... Address.-f�..-7 -W� 'c We_ �...'.."r
By -----------(/6/ l�lilGdi9G
Contractor, Agent
Form 280.1 844 -Hose Blossom
--------------- ------------------------------ !r
�� G� Loma Verde
RECORD OF INSPECTION
�Fou � ation----- ----- l0!?._2 �--- •----------------------------Frame...1--��.�r�Ir�-•- - ---
Stucco .......................................... -.............. �`/•Flnieh�S. =.Y-(et/ Zoe tc?rtit ....
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