63687-F 938 Ferngrove
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
.'Date Permit No.
Application is hereby made for a permit fo 4' d d -r- V
a�/ sfory, Ty e Buil Use Zone
at Occupancy
Space-
to be occupied only. as S< e e 6 6 ik f a Al. Space
�� ler
in accordance with Plans, Specifications an o n fil r ith.
Estimated Value of Improvements, $ / / 6"'0
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 violate the workmen's compensation laws of California.
Owner / r F ` /4'l o 1 !' i• Address ���'�/=- —
By U ci & v;a✓fh L, ,i Address /7a>/ 1N1)L" V/4
'IN�C'r/iJLGI,
RECORO OF INSPECTION
Foundation Frame
Stucco Finish
938 Ferngmve E. Livermore
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