35938 7J4 tt�hd 'hl
CITY OF SAN JOSE;�I�,a
jC/ BUI I RTMEVT
APPLICATION FOR BUILDING PERN17- 13
Date.............. 19_&/�
Perraif No.__13137_ .J&?-----------
Application is hereby made for a permit to -----le,
17
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a----/.......story, Type---- ------- --- -- -- ---- ..... Building
at ............ -----------
to be occupied only as -----------......
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, �f-------------
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 @;a r
fe the workman's compensation laws of California.
2151 St. Francis Drive
Owner ..............Address ---------------------------------------------------------------
nia---------------
By Address ----------------------------------------------------------------
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C.nfra.W,eA.ent
Form 280-1
ECORD OF INSPECTION
Foundation ------ /Farne2 �A�- 7-1 ;"-Cj
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Stucco ----------------------------------------------------------------- Finish ----------