94093 (2) 6398 BLACKW00D DRIVE
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT T,Z
Date Permit No.a4Zf
Application is her y afdrWe #
s+or , Ty e - _ it n Use Zone
at r /4Gd�i�t!®r�,� +�'Q Occupancy
to be occupied only es — Parking Space
Fire Sprinkler
in accordance with Plans, p a#ion d t- fi Emer. Elect.
Estimated Value of Im ov n+s, Cv//
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner o as to iolefi the workmen's compensation laws of California'
y�Air
iy �— p Address -q� /
By t �—J�2�-- Address —:24k, .a{��'�'
«j—RECORD OF INSPECTION
Foundation " Sl uw Frame
Stucco
Finish
260-6011
6398 BLACKWOOD DRIVE M/M BELL
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