84178 871 Bette Ave.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date_10— 5 197_ _ Permit No.4�1»
Application is hereby made fora ermi} to 7-0a �s}or , e Buildin Use Zone
MH9ccupancy
to be occup on y as i irking Space�7
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler
-
in Elect.
Estimated Value of Im v marts,
I certify that in the pe a iha�o O ch er all not employ any person
in any manner so a, to e t workme ' a 1 s ifo e.
Owner�ME Address 7 ;
By A jS:e10e R/k Address ?7_S OyAe j 4466
RECO D OF INSPECTION
Foundation
Stucco /Finish //-/Z ' 747— r/ V
871 Bette Ave. H. Leimer
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