35938 (2) CITY OF SAN JOSi BUILDING EPA MENT
APPLICATION FOR BUILDING Pd1W,
Date...... 19.011Permit No.
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A lication is hereby made for ermit to --------------------------------------------
a------- ----story, Type--- ----- -- - - --- -- - - - --- - --------- ---- Building
at .............. 7,;� . . .......-- . ... ... ... .
.......
to be occupied only as ------ --- --------------- ------
in accordance with Plans, 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 he
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 anfjV'R08prtkrRllStojA1,bjate the workmen's compensation laws of California.
2151 St, Francis Driv:
Owner ...............................Address -------------------------------
y
-------------------------------_-------------_------------
---- ----- ----
PBI�07_11 4
By ---- . .....Address ------------------------------------------------------------- --
Contractor, gent
Form 280-1
RECORD OF INSPECTION
Foundation
Stucco ......---------------------------------------------------------- Finish --- ------ -------------------------------------------------------