66510F 870 Ferngrove
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FORR..BUILDING PERMIT �-
Date 19 Permit No
Applicafion is hereby made for a permit to
a story, Type i Use Zone
ccupancy
to be occupied only as '/ in9 Space
in accordance with Plans, Specifications and Plo#-plan filed herewith, Fire Sprinkler
�, Emer. Elect.
Estimated Value of Improvements, $ J C%!�
F 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 violate he workman's compensation laws of California. �.y p
VOwner ��1 G°�7C� Address d7o feP�i ga" 01' �d.t j(,
By "94, /t'!P Cb Address 7'1� �4 f
�L RECORD OF INSPECTION
Foundatio'n 'f l 2 7��(/1�j�i. -.! Frame
Stucco Finish
870 Ferngrove A.B . Vischer i'£�
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