35938CITY OF SAN JOSE ' ����/ B NG D RcTTM/EENNT
3x APPLICATION FOR BUILDIN Ml
Date ---- 2 ..--..r 19.4 .2_ Permit No ------ sZ..S2. U --------------- -
Application YP Y r a permit to feC� .. ........................ 9
a--------..storis hereby made f(�% -- -' -- ----- Building
at-------------------------�.�
?----.--� -
to be occupied only as ----- _( Qom.' ..............
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $//l..........
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:ima%nerba6jmsfoi6t.late the workmen's compensation laws of California.
2151 St. Francis Drive
Owner-Fa,..- ltp' aft( ' — ------------------------- Address----------------------------------------------------------..
By ...0 (. '/1 - Address - - - -
- - - -
Contractor, ge
form 280-1 _ - —
RECORD OF INSPECTION
Foundation -.. -.. .... C -J 6.( Frame ----- ----
Stucco--------------------------------------- -- --------------------- Finish --- - -------------- ------- k---