35938 TMENT
*4 APPLICATION FOR BUILDING ?Ma
Date--------- 194"/_1 Ze,mit No. �Jlk-------------
Application is hereby made for permit to ----
a...... - tory, Type..../------ -----------------------------------------------Building
at ----------------6.&.:6.......................
to be occupied only as ... .. -- -----0--------------
in accordance with Plans, Specifications and PQ�n�ielr'-e Vit�.�
Estimated 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 anyuwmrnrnbStoi�iolate the workmen's compensation laws of California.
I nc.
2151 St. Francis Drive
Owner Address ----------------------------------------------------------------
A1-T -------------------------------
!o I a
By ----------- ...... -- - - -----............Address ---------------------------------------------------------------
:;..1r..tor, Agen
Form 280-1
RE CORD OF INSPECTION
Foundation /game ----- - -- ----
----- ------ -------------------------- L311--ro
Stucco . ..........................----------------------------------- Finish - --------------v-'-
;p_ 2�y--&y-A _
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