76995 •;1016 `Bubb Road
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 19 7-R Perm' No.
Applic on is hereby mad or a permit #o
r
a_Z st ry, ype i Use Zone
a# �O Occupant
#o beioccupied only as �� �J( Parking Spac K
in accordance with Plans, cificatio of n' , drldleWi#h. Fire Sprinkler
_ Emer. Elect.
-
Estimated Value of Improvements, $ 4_/Co
I certify that in the performance of the work for which this permit is issued I shall not employany person
ih any men s as Jp violate thorkn's,,c�mponsation laws of California.
Owner ��CT%C '��1�— Address /D/6
By Address
RECORD OF INSPECTION
Foundation Frame
Stucco Finish747— 3 / / 4VZ
1016 Bubb Road R. T . Colenso E
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