58309 M7 Dumas
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPAk MENT
APPLICATION FOIA BUILDING PERMIT J
Date 19—L Permit No.
Alplication is hereby made for a permit t
a story, Type Puil in _�Z i Use ��
at 5 Occupancy
Parking Space
to be occupied only as
Sprinkler
in accordance with Plant, Specifications an plan file
Estimated Value of Improvements, $ •� 6�
I certify the+ in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to viate the workmen's compensation laws of California.
Owner `IC( CEma n Address ? .5-3 2 av/), rtS d/. S.<n
Address 2 S•S) wm a S j9,� S•r n jo S e_
RECORD OF INSPECTION �
Foundation 1r��y ""' ^;"'� Frame
Stucco t Finish ?'� G �s' �8
fG 2. 25•L ] $Tl.tW#cd-#Au
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