62522 F 894 Brenit Ave
Tract No. VC)? 2 Lot No. /.Z 9 '
CITY OF SAN JOSE , BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date_LGL• 19 l '/ Permit No. J(
Applic9ion is hereby made for a permit to PEI/ol o'
a � story, Type _ ing Use Zone
at_ 9 Y 7 P Occupancy
to be occupied only as �o Parking rpace
Fire Sprinkler
-in accordance with Plans, Spec fications and Plo plan file erewith.
Estimated Value of Improve�
I certify that in the performance of }Fie work for which }his per ,t is issued I shall not employ any parson
La any menffar so as to iolat��e��t'° workmen's compensation laws of California.
Owner �J_.��/zr�7_ppriQ Address a
y_O��
Bfr» _._art—PQo��_ YL._ Address l� S- 'S
RECORD OF INSPECTION
Foundation �-� ' _ Frame
Stucco Finish r Z /Q, C�• 6 / AO WA
894 Brent Ave 9 Shaefer
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