84991 (4) 7527 Kingsbury Ct.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR
.BUILDING PERMIT p G I=
Date ��" 1� 19 -7 Permit No. / I
Application is hereby made for a permit to A D 7J TD
a—( story, Type Building Use Zone
a# 7('L 7 r N C S tai U f? - Occupancy
to be occupied only as, /G, i1' 9�/oQsr 4,Parking Space
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler
-
Enter. Elect.
Estimated Value of Improvements, $ -7O O O
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 workman's compensation laws of California.
Owner �2- Address
B u [ ;0 Esc Address
RECORD OF INSPECTION
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7527 Kingsbury Ct. D. Cleaver
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