67481 821 Lily Avenue
Tract No��z Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
p APPLICATION FOR BUILDING PERMIT /
Date Z Z — 20 , 19 ,70 Permit No.1L�zzm/
Application is hereby�rnade for a permit to vim /
e_�story, Type-.7 Building Use Zone
z �- fI✓� Occupancy .1
to be occupied only as Parking Space 2_
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler
.
Estimated Value of Improvements, $�OD/J y6,oo Emer. Elect.
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 Calif or. /
Owner/�%2.S 1//ye.9 SO SO Address ��/ �L
By �oS1�y CQAv ,-(-KI Address ` - So �.
RECORD OF INSPECTION �u
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Foundation F�rema �7 �� � n
Stucco �� Finish s- /�' /l A�fi�/3
821 Lily Ave . Mrs. Milka Soso
WOL OL/S L-08Z -JOS
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