68328 845 cottonwood Dr.
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Tracf No. - Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT/
Date 3- 3� _,. 19�_ Permit NoJ�P3 L(r
Application is here6 made for a permit to A&A GKayf- '
a' story, T e V a . r uil r Use Zone
at i Occupancy
to be occupied only as `� fi,R/" �"""�d' Parking Space
f�4<<W.a.y Fire Sprinkler
in accordance with Plans, Specifications an Ian fil here i+h.
r. Elect.
Estimated Value of Improvements, ; � . " cNrl
I certify that in the performance of the work for which this permit is issuedf shall not employ any person
in any manner so as to violate the workman's compensation laws of California.
Owner GrAY' Address 8¢.1 S' r,
By s, l L^-! !O• Address
RECORD OF INSPECTION
Foundation
Stucco 1 Finish
aLLs rnt"t•mnTannd nn- - Larry Gray iP�L/
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