43779 (2) 7845 Or10h Lane
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITaws
126"k0.4FSURu6%( PA0C4�L 8
Tract No.......................Lot No..-----.................
Date-...... --�'4-""'............. 19----"----- Permit No.432�J.....- -F
Application is hereby made for a
--.-.-.-- permit to �
t - s+O TYPe-'- ' /// / Dd
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-Y •-•
6 / !!i'-t�"'-RECORD OF INSPECTION
Foundation.'4:i .........Frame--
Stucco---------- ----- / ish_ aS: 7Clt''.✓�
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Form 280.1—IOM-12-63