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iose�/, BUILDING DEPAiTM-EIT
APPLICATION FOR BUILDING PERMI01?4 3_1J
Date--���_C2---------------- I9_ ---L... Permit No.--_Z:57_IJCF..............
Application is hereby ad for a permit to Id. -----------------------------------------
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c I&Ian—s,�Sppecifi atio
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in aC ns a ]of-plan file herewith.
Estimated Value of improvements, $------ ../_ 0--
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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 manner so as to violate the workman's compensation laws of California.
Eichler Homes, Inc.
Owner ------2151.-SL-Francis-drive---------------------Address ---------------------------------------------------------------
Palo Ito, C i rnia
By ------ ..............Address ----------------------------------------------------------------
Contractor, Agent-)
Form 2804 l "sem
RECORD OF INSPECTION
Foundation ------- Frame ------
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Finish
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