3691 7786 Lilac Way
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPART�F,VU,�
/ APPLICATION FOR BUILDING PERMIT %�/"
Date�_ __/ ! ��
19_/-17 __ _ Permit No. �� 6
APJplication is hereb made for a pe mi to
a_/storTypo) Use Zone
at_7 g t A/ k' pace to be occupied only as / �ILt pace
in accordance with Plans, Specifications and Plot-plan fiillerd herewith. re Sprinkler
Emer. Elect.
Estimated Value of Improvements, $ OZ 49400 ,
I certify that in the performance of the work for which this permit is issued I shall nor emp,oy any person
in any manner so as to violafa the workman's compensation laws of California.
OwneL� 5_ Address /N &�
B (tea// i iz/ fA ( Address S 7`P� //_V
RECORD OF INPE�CTION
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Stucco Finish
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• 1. LOC TI N 2.DATE RCD. 3.TIME RCD.
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