58360 1006' Westlynn
Tract No. Lot No._/�
CITY OF SAN JOSE BUILDING DEPARTMENT
APP (CATION FOR BUILDING PERMIT
Date ' 19 to 9, Permit No. S cf 3G O
Application is hereby made for a permit to
a Z story, Type � Buildin Use,Zone �
at / O e Occupancy
Parking Space
to be occupied only as� �'+� r f G
in accordance with Plans, Specifications and Plot=plan:fileclWr%Wifho' Fir rS'prinkler
Estimated Value of Improvements, $ 3�
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 **late the workmen's compensation laws of Californf-` � !d� I, /
Owner—/"/,KjfY/4 ^7� / 'r/e - Address 3 �l clTellOni YdS.s
B „ Address
BY
Ik,, Yc/5R CO' P OF/.NSMPECTION
(a
Foundation Fram ! g /
Stucco Finish . ��'�;yU 4,111'��
1006 Westivnn M C. Tnhncor,/2 3/-LF
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