80659 F7567 Rainbow Dr.
Tract No. Lot. No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date Q� Z47'
. 19_Z !?:' Per 't No,�
Application is herebYlp a for a permit to
a_ story, Type S -fl/Building Use Zone
a} I� Occupancy
to be occupied only as / V Parking Space
in accordance with Plans, Specificat ns and Plo#-plan filed herewith.
Fire Sprinkler
Estimated Value of Improvements, $ f'
I certify that in the performance of the work fog i is permit is issued I shall not employ any person
in any m goer so es to 'olate the workmen's compensation laws of California. ..
Own r� ._ t Address `'is s �'
gy Address C
ORD OF INSPECTION
Foundation Frame �,~•—/I /
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FinishZ.�' 7 4
7567 Rainbow Dr. L. Sypriecki
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