1212870 FERNGROVE DR.
Tract No.
CITY OF SAN JOSE
APPLICATION FOR
Date lr- co /O 1977
Application is hereby made for a permit
a _/ story, Type
atZ%Q ;yl2p en L2'
to be occupied only as
in accordance with Plans, Specifications and o!
Lot No.
BUILDING DEPARTMENT
BUILDING PERMIT
__— Permit No./�-/vim %fly✓
Bu'Idin Use Zone le -1
Occupancy -2-
_ p Parking Space
�lan ft(� here ,C� Sprinkler
Emer. Elect.
Estimated Value of Improvements, $ 79O41
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violafe the workmen's compensation laws of California.
Own scF/c o Address of 3a u45-
4
c Address
��tt ECO OF INSPECTION
Foundation 3-/r - Frame?', 4/-77
Stucco Finish 21- 77a -r
�` 5-l�j 1l �rJO bti�,� 260-601N
870 FERNGROVE DR.
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