92276 7708 UROGRAIYD 'PLAC .'."
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Tract No.67/1 Lot No. 16
CITY OF SAN JOSE BUILDING DEPARTMENT, j
APPLICATION FOR BUILDING PERMIT �F_
/
Date 1 2• Z(/� , 19 Permit No.
Application is hereby made for a permit to
a story, Type Build' g�Use
cu Zone
at N' " mi _ Occupancy
O Parking Space
to be occupied only as Po�. �,r.� �L„ Fire-Sj rinkler
in accordance with Plans, Specifications and Plot-plen•filed herewith. f , er
Or
�m`,Elect.
Estimated Value of Improvements, $ a,9
I 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 workmen's compensation laws of California.
Owner RI< ItaCA 2CtSSPrn Address '1; r3 „yq �(•�//pPcl { �
By_yAvVAItAN PoOIS Addre:: n'� 3Y cQm�e � JV.
REC RD OF INSPECTION
F��•�` Frame
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Finish
Stucco'
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