88646 7+54 DE LA FORGE DR.
Tract No. Lot No. UBC 197$
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 19 Permif No.
Application ' ere y ma for a permit to
,
a_/sfory, Bui in U one
atOccupancy /�
to be occupied only a Parking Space
in accordance with Plans. Specif' ations d Plot-plan filed herewith.
Fire Sprinkler
/ , ,Emer. Elect.
Estimated Value of Improve a CL r ;hichy`"'�. i/�C,
I certify that in the performance of i work for which }his permit ,s iss ed I shell not employ any person
in any manner so as to viol is The work n's compensefion laws of California.
Owner ddress 7 w
S'o/ ansl
By ddress
RECORD OF INSPECTION'?
Foundation �D —� YV /�� Fyne
sm«e
/Finish`/�
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