57721 79�st Lane
Tract No. 7 73- W Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT . t
APPLICATION FOR BUILDING PERMIT
Date s 19— Permit No.
Application is he Iry f r o GAotl
a I story, Ty _ i i Use Zone 2_-4
at_ _ Occupancy
to be occupied only asParking Space
in accordance-with Plans, Specifi io a Plot- f*dA h Fire Sprinkler --
Estimated Value of Improve e s
I certify the+ in fhe performan of the work for which this permit is issued s alVh I not employ any person
in any manner so as to volete tlse wor en's compensation laws ofpCelif/o�rnie., _
Owner L EO /'Y/'f} S.5 Address
BY V44F 40eS�y LirZy� Lrvi VL Address y- SJ
/ RECORD OF INSPECTION
Foundation Frame /3
Stucco Finish
7919 August Lane Ib Leo Massocco ) -/10-7/ ref`.
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