95504 7636 ELDERWon COU14T
Tract No-,�— —3.S Lot No. /
CITY OF SAN JOSE BUILDING DEPARTMENT
_� PLICATION FOR PERMIT ��
Date ( 19 v Permit No. ��a`F
Application s hereb made for a permit to.
a_I story, a .Buildin Use Zone
at i,3_(2 Occupancy
to be occupied only es P ki g Space*
� lwit o .
inkler
in accordance with Plans, Specifications and lot-p a le a ewi+h. ,,y rmer.rElect.
Estimated Value of Improvements, t-q�-00r e�b • !93/'F�
I certify that in the performance of the work f r which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner — NDE f Address 3080 Olcott St'. S.C.
By Address 3080 Olcott St. S.C.
yy// REO�C�/O� OF. INSPECTION sdfA.f
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S+uci:o � Finish
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