83712 1140 Kentwood Ave.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT'
APPLICATION F UILDING PERMIT 2
Date 0 19 Permit No. 3
Application is hereb de or a permi to
a_�story, Type Use Zone
at rig � � ccupency
#o be occupied only as V king Space?
Fire Sprinkler C7
in accordance with Plans, Specification and Plot-plan
nnyfiilleedd herewith. Emer. Elect. 6 —
Es#ima#ed Value of Improvements, $ _�1,ySC✓
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in any man or so as to viol f he wort ons compensation laws of f ifprnia.
OwnerG Ur Address �v ^�`�- W�
d%06. A r Address e S
RECORD OF INSPECTION
F/Jundationl�'��•7`t' °'///r��la4,eA' Frame �0'��n51_
Stucco /Q— 3/— 7�/� Finish �
� . 1140 Kentwood Pl . H. Menteur
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