30838 (2) 7580 Elvin
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION' FOR BUILDING PERMIT _4-eS
161n:>
Date----- ...... Permit No ......
--- ---------------------------
Application is hereby made for a permit to/--.0-- ------------
a----------/------story, Type--— --- -----.f. .. ............ ..................................................Building
at................. C. )------ -—- -------- -----
to be occupied only as..... --- -----
in accordance with Plans, Specifications aln Pof- I
Estimated Value of improvements, $. ... .... ...------_------
R 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.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any nner so as to become subject to the workmen's compensation laws of alifornia.
00 ... ...
-- ------------ --------
Address----- -------------------------------------------------------
------ -- .... ..
By
onfr.ctor, Ag'ant
Form : - 80 Erin Loma Verde Const. r
RECORD OF INSPECTION
Foundation....CO..`
- 1 -----------------------------Fram�e�F/43/--- ---- .... ...........
Stucco........... ----------------- ish------ZlD:�14t
..........�J................
Z'— //oIP3/,f
F 23 72s—