36270 739 St6hdAh1
CITY OF SANJOSE/ 1 L D INIG, D E P R T M7f
41j S71 APPLICATIAeFOR IBUILDING AM �11 7x�
Date-- ----- - erinit No. ---------
Application is hereby'made for a ermit to --- ---- -- - - -- ----------- -----------------------------
a,--,,/.------story, Type--------- --- -- -- -- --- Building
at ----------------- ----- - -- --------------
to be occupied only as - ---------------- ----------
--- -------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
1� 4? ------------
It is hereby agreed that the requirements of the San os�fuiidirg 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 anyLinanneriso,at,foly
jelate the workmen's compensation laws of California.
2151 St. Francis Drive
Owneri fria--------------- ---------------Address ------ ---------------------------------- ---------------
.By t-- --- - ------- - - -- ----------------.Address -------------------- --------------------------------------
Contract
-----------------------------------------
C.n f 4r..t , A"ge nt_;�iD
Form 280-1 lw�
RECORD OF INSPECTION
----�-�---C- - >>-C=-( Frame ------ 0./�-6� 6�G
foundation f ��}� - `
Stucco --------------------------------------_ Finish --- ----.._ ----`-'---------"'--S7 7(7,4'/