35938 (2) 74 � t6&-h8AU
4r
-,P-7OF SAN JOSE B DING UPARTMENT
OM-li �F
APPLICATION FOR BUILDI rERT
-W
1977-
Date---------7xk4ez, Z Permit No 3-"-- j4P-----------------
Application is hereby made fa permit to ----------------------------------
a------ /------story, Type---- ...... Building
at ---------------------— 7�-17 .. .... ... .
----- ---- --- -----------
to be occupied 0 ------- ----------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, do�--
----------------
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 n1Wft-n'e1'r.),sdjYi aqTto3a the workmen's compensation laws of California.
. .. 1� , 1*.
2151 St. Fra,, iS Drive
Owner ---- nia----------------------------Address -------------------------------------------------------.
By
' -yJ --%
----- -- - ------...---------.Address ---------------------------------------------------------------
Contractor. Agen
Form 280-1
RECORD OF INSPECTION
Foundation
5 . Frame... ..... -- -
Stucco ------------------ ------------------------------- Finish