25270 6379 Atherwood Ave.
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Tract No. Lo} No./ `S 0
CITY OF SAN JOSE BUILDING DEPARTMENT
`APPLICATION FOR BUILDING PERMIT W
Date � � � � 19� Permit No.
Application is hereb made for a. permit to
a I story Typ it Use Zone
I Occupancy t
to be occupied only as arking Space Z+
in accordance with Plans, Spec ications and PJplan filed herewith. Fire,Sprinkler
Emer: Elect.
Estimated'Value of Improvements, $
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I certify that in th p r ce of The r p it ' issued I shall not employ any person
in any manner so.e t 'flihe wo a s alifornie.
Owner Vv. O (N Addi es 9�� y r ° /f✓�
By lU4s.. GOA` G oe Address 21'1—
RECORD OF INSPECTION
Foundation 2�2'�3 Frame
Stucco - Finish�
6379 Atherwood Ave. H. Jensen __
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