81560 1075 Kentwood,Avenue
Tract No. Lot No.
CITY OF SAN JOSE, BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ' ' "/ , 19 — Permit No.& }7, C1
Application is hereby for a permit f) f} ) d ivi
a 4.story, Ty e 1 i Use Zone
at • 3 '�t d u`' f Occupancy
' to be occupied only az A- /t A 2 . 67
Y n9 Space
� Fire Sprinkler
in accordance with Plans, Specifications and Plot-plan filed herewi#h. ire S inkier
Estimated Value of Improvements, $ S -
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 IDO ✓/ALn M AN N- Address A/ 2 /�_E.yf wood
By
..$�U.a�.r�iCo . Address 3._r 'yC GLS"'«`t' �•y �il r'�CC
z� RRD OF INSPECTION ]�
Foundation ,5.41-N � "REREI;C?
Frame ¢
Stucco �` -�'�F.mish -•
1075 Kentwood Ave. Donald Mann £ '
1-064 w,oi
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