67908-F 1127 Hollyhead Lane
Tract No. Lot No.H
CITY OF SAN JOSE BUILDING DEPARTMSEMT
APPLICATION FOR BUILDING PERMIT
Date `� - 2 319 > / Pe ' NO.
Application is hereby made for a permit to_
a I story, T p B it in Use Zone
at Occupancy
to be occupied only as C v r� ,� Parking Space
in accordance with Plans, SpecificaVo n i_lot at(tife64fe�fea+i,, {/Fire Sprinkler —_
6�P o emer. Elect.
Estimated Value of Improvements, $
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.
OwnerAe- all Address //z2 7_,/�
By_ h Address°/ 7 f
RECORD OF INSPECTION
Foundation FFraamme�
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1127 Hollyhead Lane / W. E. Walsh
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