86071 F (2) 7546 Defor Dr.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT C"r
Date _ 19 Permit No.
Application is hereby mad fora rmi } J—i;z_
a�story, Type n Use Zone
a+ Occupancy
to be occupied only as —��� /f / •pace
in accordance with Plans, Specifics+ion n tof.;pla f/'��J� eer w r nnkler
f' CD Emer. Elect.
Estimated Value of Improvements. ;
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in any mannnaf so as� violate the workman's compensation laws of California.
Owner Y" �,f�-UC S<�i'l./ Address
By Address
RECORD OF INSPECTION
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Stucco Finish 2�/ �� r"
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