73543 6370 Cottonwood Ct.
Tract No.-2,5'4 2- Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date_7" 2 Z-- 19 P r 'yt No. 7A_-5-4—,3_y „
Application is herr made for a perm' to
stor , Type Jcji Use Zone ..
Occupancy
to be occupied only as ar ng Space
in accordance with Plans, Specifi at nd Pilo+ �e ' ve Sprinkler
DO Em
Estimated Value of Improvements,
I certify that in the performance of the work er. Elect.ork or which this permit is issued I shall not employ any person
in any manner so as to violate the workman's compensation laws of California.
Owner /LjA✓ R f'4'61' Address 6370 C_o ar G ogO G�
By S41/ 7 ar Co--J L. L8. Address3tJ— ,L/c
r� RECORD OF INSPECTIONS
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6370 Cottonwood Ct. M. `R'. '-Smith :i,
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