35938 664 Ail
CITY OF SAN JOSE cp d5ia� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT Av�"�Y-5
Dafe_.!..--------......---___-.�------------------ 19Z/_- Permit No__;.�>._J,.��W.................
Application is hereby made for a permit to4i_ --s -----------------------------------------"e4
....
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a...-_ ..:---story,story, Typej/ ......... Building
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to be occupied only as ;; 1z_1--------------------- !!Pe woo
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of improvements, �1_4:41: ;..........
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-
son in any manner so as to violate the workman's compensation laws of California.
Eichler Homes, Inc. Address ---------------------------------- ----------------------------
Owner ----------------------------
rnre
Palo-Alto all f
-----------------Address -------:-----------------------------------------------
By e'
Contractor,cfor,
tractor
,
Form 280-1 f
RECORD OF INSPECTION
Foundation Frame - ..-- - - .-g- -- - Q
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Stucco ........ -------------------- ------------------------------ -- Finish ----------------- - An. —61
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