35938 (2) 665 Phil
CITY 0 SAN JOSE BUIL7DI E7TMENT
MI
APPLICATI NFF05R BUILDING P I `5_/
Date--- ............. 194/az; Permit N o. ---------------
Application is hereby made for a per t t �----- -----------
a------/.......story, Type 74,Z'
�r ----- ------ Building
at ----------------6 jo-5
to be occupied 4 -----------
1,7
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, -Z........
Y
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 anyEWRr Hbrflbsto --*"'e the workmen's compensation laws of California.
2151 St. Franci rive
Owner - ...... ............... --
Address ------ ------------------------------------ ----------
By -- -------.Address ------ -
. .....
-------------Address ---------------------------------------------------------------
-- -- --- ---- --- - ---I---
Contractor. Agent
Form 280-1
RECORD OF INSPECTION
FoundaZo, -- ----0--! •v-----6........
Stucco ----- ------- ------------------- ----------------------------- Finish ----------
------ - -----------------------------------------