95504 (2) 1021 TUSCANY 'PLACE
Tract No. 3S' Lot No. u
CIT OF SAN JOSE BUILDING DEPARTMENT
/,CITY
APPLICATION FPRf UILDING PERMIT
\De e_ 19—/ _ _ Per it No.
Applicaticif is hereby ade Ar a permit to
e sfor Type _ g Use Zone -
atJU�./ _ Occupancy
to be occupied only as 1 / vAl r ' 9 Space_.3
in accordance with Plans, Speci ications and lof-plan filed herewith. Fire Sprinkler.
„#Enver. Elect.
=/Y ..?096
Estimated Value of Improvements, ; 2fvZQ0�6 Y'
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workman's compensation lawso} alifornia.
Owner_
By— NDE�T '-S Address 308 Olcott St. S..0-r
Address 3080 Olcott St. S.C.,
RECO OF INSPECTION
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