63188 871 Bette Ave.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ¢
Date!� , 19—CC--qPermit No. 6!,
Application is hp&y made for a permit to e
a_�story, T e _ in Use Zone
at _ r Occupancy /
to be occupied only as pU �`FrXL3r- Parking Space L
/del —`rare Sprinkler
in accordance with Plans, ecif�ic��ns and P � n f'e h re
Estimated Value of I ro er)feRf $
I certify that in the part man tk work or which this permit is is ued I shall not employ any person
in any manner so es to violate the workmen's compensation laws of Celiforni .
Owner _ lei? Address /
9y_�t_ _� a Address z
RECORD OF INSPECTION 9
Foundation\\ ' uc� Frap
Stucco Finish T 7
87L Bette Ave. 9 H. Leimer
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