35938 6th Phil 9W e4
CITY OF SAN JO BUILD DEPARTMENT
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"APPLICATION FOR BUILDING Rg
ZR IV
IT
C-7
Date-..... ....... 19_ ermit No.-.S-'.—) 3?
9...... ..................
Application is hereby made for aa,
permit to
a------/......story, Type.. .... . W Building
I/A�- ,�V?fRy
at ----.....1-1 y--------------- ----- -. . ....
-
to be occupied only as ......................
in accordance with Plans, Specifications and Pl1-rfizm�
Estim6fed 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
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 anyFn1JnWM to �tlate the workmen's compensation laws of California.
Owner 2151 St. Francis Drive ----.........Address -----------------------------.......--------------------------
Ci ia------------------
By ?�!,OCZ...................Address ----------------------------------------------------------------
Con;tr..or,2Agent
Form 280-1
RECORD OF INSPECTION
Foundation .
3-7.. " e------ --- - --
Stucco -------------------------------------------- Finish --------------` —/---— e-,-
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