32975 (2) M56-6-6- -ffT-6A 9 61A
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FqR, 13UI! DMG-.,,PERMIT
Date,---3-17-f----- ------------------------- 192c '-P-ia"rmit No-----3--.�--el---*7-S--------
Application is hereby made for ai�germif to R.enp------------------------------------------------------
a.------I------story, Type---��--------T-J7---- ------- - - --- ------------- -------- -- ---- ------------ Building
at —---5-Is------------- c.liz, 0 5 6 '5&-c-s-S- -
--- --------------- ........
to be occupied only as ----- ---------
-.
in accordance with Plans, Specifications and PI Ppi�n 7 f i 1Ah a Xre//fh.
Estimated Value of Improvements, $----
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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
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per.
to lolqfe the workmen's compensation laws of California.
son in any m
.91ner so as v
Owner t�� ....60;ZMAAddress --------------------------------------------------------------
By ...... -- ---.Address ----------------------------------------------------------------
- Nractor,Aga nt Loma Verde Const.,
Form 280-1 91 . ose ossom
RECORD OF INSPECTION
Foundation
M6 -------- , ;
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Stucco -------------------------- ---------- Finis.h -----