79790 865 Bette Avenue ,L o n t
Tract No. u 0 Lot No.
CITY OF SAN JOSE _ BUILDING DEPARTMENT
�j APPLICATION FOR BUILDING PERMIT 7610 Q
Date — 'I 19�� Permit No. ��/ W
Application is hereby made for a permit to
a stor , e '✓ ' T_ it I� Use Zone
at e e _ G Occupancy I
Parking Space
to be occupie
in accordance with Plans S*10a
ecifications and Plof-plan filed herewith. Fire Sprinkler .
U Emer. Elect.
Estimated Value of ents, $
I certify to in }ha of thew r par it ' ad I shall not employ any parson
in any men so as T workman's compensation laws o alifornie. /
Owner Address
By Address U
c�RECORD OF INSPECTION /
Foundation/ ./ / C " �� Frame 2^17-7`t
S#uccol�— I�'� Finis
865 Bette Avenue Etta Garcia
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