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36270 630 St6hd6hL CITY OF SAN JOSI :e �j��2 ZU'ILDIN VEP ,T!MENT APPLICATION FOR BUILDING W, Date----- ------ ...42.S ....... 194 L . Yermit No. --------- A lication is h mit to ...../Ap hereby ma for a per ---------------------------------------------------------------------- 2 ...... 4 --- - ---- ----------- Building a -----story, Type...... at _------_------------ to be occupied only as ------------- 67 ol 7(�- in accordance with Plans, Specifications and//Plot-plan filed herewith. Estimated Value of Improvements. $/Z,. .©. --—---- 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 an)EMjo f ' I to the workman's compensation laws of California. ,01r[f8n?8S,oj6F.a I Owner 2151 St. Francis Drive .........,'..Address .... Bla------------------- By ....... ---------------------------------------Address .---------------------------------....---------------------• Contractor, ------------------------------------------------------------ -- Contractor, Agent Form.280-1 RECORD OF INSPECTION Foundation 'Frame Stucco ----------------------------------------------------------...... Finish ----------------------