35938 (2) �TY OF SAI BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITIZ.�X,,JJ)-3
------- Permit No._1T.)_?6F---:-----------
Application is herelb/y rn a for a permit to ------------------------------------------
a-------r-------.story, Type.. .... I ------------ ----e)
--------&_1..... -------------------- Building.
at ..............IFA-q-----------......
to be occupied only as e...........n-------------------
in acc ance with Plans, Specifi ations and Plot?Flarr�ilecl herewitl�.,
Esti ate Value of Impr am nits, $-.-.-.-..,e./ - ..
It hereby re d h r irem f se, n Z ' g na ce )"n`dfV_,
,c t
laws plicable sfru on, fi , n lbuildlj�inwit in a Cif o San Jose, will be
compli
if
I certify that in the rforTance of the work for which this permit.isissued I shall not employ any per-
so a
son in any manner so�o o violate the workmen's compensation laws of California.
i C ier
Eichil: es, Inc.
Owner ......2151--St...Erancis.-Drima.----------------------Address --------------------------------------------------------------
... ltornia
By
-'----------------Address
---------------Address ------------------------------------------------------------
Contractor,
-----------------
Contrac tor, A
Form 280-1 genl(,ZD
'RECORD OF. INSPECTION ;
Foundation 6'7if��G/
T ' -0 (G'�
Stucco -------------------------------------------------------------- L---
k 56
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