75847-F 948 Fern Grove Drive
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTfy NT
APPLICATION FOR BUILDING PERMIT cc�� ���t U
Date 13 19 P rmit No. 7Sd� 7
Application is hereby made fora rermit o
a story, Type �_ Bui Use Zone
at Occupancy Z.
Parking Space
in cc occupied only as — /�//er,wAjC, ire Sprinkler
in accordance with Plans, Specificatio s a d�I -.Qplan fi ed herewit`h�=Enver. Elect.
Estimated Value of Improvements, $A —f-QC)O
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so est violate fhe workmen's compensation laws of Celifor�n°
Owner Address
By Address
RECORD OF INSPECTION
Foundation Frame
Stucco Finish 34��
948 Fern Grove Drive Edward Deal l
' 1-082 w.oj
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