35938 (2) X2iWiLDIN DEP
CITY OF SAN JOS TMEINI
V-0/ APPLICATION FOR BUILDINGRP141T p 7p
Date-----...... ---I luo�/' - PFmif No. -------
Ap Hcation is hereby made for cl–permit to .......01��
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........ Y. -------V...... --- Building
----------stor Type
at -------------------- --------------
to be occupied only as .- --- ---9----- -----------------
in accordance with Plans, Specifications and Plot-pl-,—nfiled
Estimated Value of improvements,
4 -----------
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 ra compensation laws of California.
Cpar I as to violate the workman's
er ornes; Inc.,
Owner 2151 St Francis
OY�o.-1 �o, n i'a
.. ......................Address ----------------------------------------------------------------
-----------Address :-�-------------------------------------------------------------
BY ... .. ....
Contracto Agent
Form'280-1
RECORD OF INSPECTION
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Founda+io. n c � -Y - C / Frame .:... ....` ------- z}.
S+ucco ---------------------- ------- ------------ Finish