36270 (2) 60 8t6haAht 11 x-5?z,
CITY OF SAN JOSE 7; /��,j
BUILD;IN
i WDE7PTMENT
Pi
APPLICATION FOR BUILDING R
Date----
afe---- .........1 19-4./ Pe mif No..t,_?XM7_240.........
Application is hereby made for permit to - -------------------------..............
a-----/-----story, Type-----V --_ - _ - - - - ....:. Building
at -------- ---/7--------------------------
to be occupied only as ------ ------------- -----------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $X_9_ � .... .. ----- -------
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
Pian -
son in any sn asnto I
W�Ieto the workmen', compensation laws of California.
cnM err ores.
ner
Ow 2151 St. Francis Drive........... ..... Address ---------------------------------_------------------------ -
... ... ......
By - ---- .... ....... ....: -------.Address -----------------------------------------------------------------
%
Contractor. Agent
Form-280-1
RECORD OF INSPECTION
-. e e )me ------ -,
F,u� ---- ---61(�F 4 6 ajj
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-----
Stucco - Finish
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