35938 62gj
CITY OF SW JOSE BUILDING DE�ARTMENT
APPLICATION FOR 'BUILDING PERMIit,��-/�5A
z-
Date-------// ...—, 19.. ..<� /
Permit No.
.. .... 3a..-----------------
Applicafion. ;s hereb made r a permit f o - -----------------------------------------
a---------I------story, -------- - - - ------- -- ........... -- ------- Building
at ......a(6------- ------- - ------------ --
to be occupied c ----------------
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $-----/..o
It is hereby agreed that the requirements of the San Josa�,Zilcling 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 ---------------2-1-5-1--SL-Frafl6S.Dri.Ve--------------Address -----------------------------------------------------------------
.... 111, 1�!Itqlifornia
By
.......Address ----------------------------------------------------------------
Contracto r, Agen
Form 280.1v (CZD
RECORD OF INSPECTION
Fol ...tkC--"'73,n---6.1.. Frame --------
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Stucco --------------
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