60201 6371 Atherwood
Trac# No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 'I"'(
2/// �ozoi-F
Date � 19 � y' Permit No.
Application is hereby made for a permit to `131d
a-story, Type ng Use Zone /
at J7/ i( P wu f//A Occupancy
to be occupied only as• r, ✓ {e o Parking Space
in accordance with Plans, ecifications and Plot-plan filed herewith. Fire Sprinkler
Estimated Value of I s, $ Mtion
I certify that in the r n of the rk ar it ' is sell not employ any rson
injro�)
a viol a the workmen's comlaws o ifor
f AddressO Address
t RECORD OF INSPECTION
Foundation '\� �`'� �N`�-- Frame O�
Stucco Finish 4, �/'(0 f
6371 Atherwood W. A. Roberson r�C
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