35938 (2) AJ4 i4ift�i r4l 1 41-- r �/ 0j -
�CITY OF SAN JOSE � BUILDING DEPARTMENT
-7
APPLICATION FOR BUILDING PERM IT " -153
Date... --- 19...ee--- Permit No.-s_s-_v_,F---------------
Application is hereby ma for a permit to . .. ....._:..: ........._----_----------------
a-------
-----------------------a------- ------story, Type-- ------ --- -- -- --- - - ----------------- ------------- Building
at - ------------- _1+.. _______ _..
to be cupie --------- --- ....s ..
in accordance w h ans, 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 any manner so as to violate the workman's compensation laws of California.
Owner
Eichler Homes, Inc. .............Address ------------------------------------------------------------- -
Owner - -----------IIrive
-Trpcis rive
al IN fo I --------------
----------Address -------------------------------------------------
By L
Contractor.. A��nt �
Form 280-1 �p - -
RECORD OF INSPECTION
Foundation ----------- lree"0.0`--- Frarne'<:�2
------ ---- ---------- ---
Stucco --------------
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