35938 (2) X29 si6hdAhl `� X00
CITY OF SAN JOSE BUILDIN%DEP TMENT
APPLICATION FOR BUILDING R
I
Date--------------- ------C�?.... P mif No._3_5;-D -- ------------
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Application is hereby made for i ermit to ------Z�. Z----------------------_-_----------
a.......Z------story, Type----p--+--- ..... --- --- ----- Building
at .-----.._-----------`.7,.I-/---'--------
to be occupied only as ----- .......---------- -----------
in accordance with Plans, Specifications I an Plot pan filed herewith.
Estimated Value of Improvements, $1/1 -- --------
It is hereby agreed that the requirements of the'S,n 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 anEiMqpqHboMaeS,tjde' late the workmen's compensation laws of California.
Ow 2151 St. Francis Drive ddress --------------------------------- -------------------------- -
Owner -------------------------------A
Cali
----------------Address ------
fra.t,
B n
-onracto Agent
Form'280-1
:,RECORD OF INSPECTION ,� J'
Founda#ion -- ^� "\'
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5#ucco ... ------------`---------------- ish --- -....: -- .:/C�L