86859 928 Candlewood Dr .
Tract No. Lot No. UBC 1973
CITY OF SAN JOSE BUILDING DEPARTMENT
r_—
APPLICATION FOR BUILDING PERMIT
Date C� 19 7 "i Permit No.
Application is her ad r or ' m K. pr
a—L_story. Typ n Use Zone
a+ 17, O upancy
to be occupied only aso F °g ca ee 2
in accordance with Plans, Specifications an Plo •p an tiled erewi+ . `fi
Estimated Value of Improvements, $
/f� O EmerElect.
I certify that in the performance of the work for which this permit is issued I shell not employ any person
in any manner so s to violate the workmen's compensation laws of California.
Owner LL Address
By Pi Address
RECORD OF INSPECTION
Foundation Frame 'J /
Stucco Finish /l' r^-^ 2 h1att,—
928 Candlewood Dr . V. Holland
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