35938 6212
ITY OF SAN JOSi :� BUILDING DEe-"ItTildia-;2
, k.2 7
7 7 APPLICATION FOR BUILDING PERMI -_sjS
Date---' 19-------/ Permit .......... ----
Application is hereby m; permit to 6 ------------------------------------------
a..gdo r a
a...-----F------story, ........ ,------
- ------- - ------ ... Building
at ------------------------ .......... --------- --- -- --- --- --
to be occupied only as -a- - --- ---------
in accordance with Plans. Specifications and P104*�ned &w
Estimated Value of Improvements, $----- �.f..�.�--7 ----
It
-----
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 workmen's compensation laws of California.
Eichler Homes, Inc.
Owner -------J-15rl--St...Ran Pis-Drive------------------_-Address ---- -----------------------------------------------------------
palo'At0, �CVf rnia .......Address ----------------- ------------------------------...........
By .....
Contractor, Age
Form 280-I f
RECORD OF INSPECTION
Founda+ion -,.......... /frame -----f
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