95900 1105 MILKY VAY
Tract No. Loi No. -
CITY OF SAN JOSE BUILDING DEPARTMENT
PLICATION FO ` BUILDING PERMIT _
Date � - , 19 '"" Permit No. ,?
Application is hereby made for per if to
a story, Typ Use Zone
at _ /6 Occupancy
to be occupied only a �rking Space
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler
Emer. Elect.
Estimated Value of Improvements, $ ! � - . .
I certify that in the performance of The work for which this permit is issued I shell not employ any parson
in any map neso es to violate the workman's compensation laws of California.
Owner'A dyx" 7/i C', ' Address Z/ o,S L%/L y 1V,4,0-
By�y1_ ��L p/ cam }�r9�/aCS Address
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
1105 MILKY WAY. JOHN TUCKEY 260-601N
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