59705922 Blazin&yood Ave.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
rAPPLICATION F'
OR BUILDING PERMITn/
Date & —3 , l9/
.(�/.� Permit No.
Application is hereby made for a permit to
a stor Type i Use Zone i2-rL-2 E�// Occupancy
to be occupied only as513
Parking Space 2
in accordance with Plans, 1pecificafions and Plot -plan filed herewith. Fire Sprinkler
Estimated Value of Im o encs,
I certify that in the per r ce f the $ r r is t is per i s I shall not employ any parson
in any manner so es To v' t a workmen's compensation laws of California.
O Rnr ui`S'le!' rrr Address 922B/ezz-f I ✓ao �Y{
By Address /Z C) (%o'6& el
,e. � •� iS
qjR ORD OF INSPECTION
Foundation Frame
Stucco Finish
922 BlazingwoodiAver 9' P. Duistermars !�c—
woi e9iz i -08Z W102
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