35938 TY t6hd i�t
TV OF SAN JOSE BUILD;IrDIEPPRTME T
_?3 IT
APPLICATION FOR BUILDING PERMIT.
Date---
.......... 19. Z errnit.No.__3_'5---)-? --
----- ------
Appl I icafion is hereby m.ade for. a...permit to ------16",- - -----------------------------------------------
a-----..I-----.story, Type----_
115;1�0 ----------- Building
at ......... -------------- P-;�Wl; V_
' - z_ -f: .....................
to be occupied only as -- ----
in accordance with Plans, Specifications and Plot-plan filed herewith.
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 anfinrerl"sMlye.late the workmen's compensation laws of California.
2151 St. Francis Drive
Owner .��O-eafi -------------Z�.................Address ---------------------------------------------------------------
By --------- ----- -- ................Address ------------------------------------------_------_----------
Contractor,
-----_----------
ontractor, Agent
Form 2801
RECORD oOF/INSPECTION
Foundation --- -- -- Qi4 `Pune -- ------
--- -p-(.�...!..W �--3-�-
Stucco --------------------- --------- ------------------------------- Finish - - Gd----:..r�--
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