86465 '1089 Milky Way
Tract No.- Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
U. APPLICATION FOR BUILDING PERMIT Fit'
Date - Z ` 19 7 � Permit No.
Application is here made r a permit to
_�_stor , Type zo 41 i L . ��,p Use Zone
a
to be occupied only as� s 1 �9�Pace
in accordance with Plans, Specifications and Plot-plan filed herewith. ' Fire Sprinkler.
Estimated Value of Improvements, f
3 5-00Emer. Elect.
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any manna so as to violate g�hyee workmen's compensation laws of California.
Owner Address
By � Address
RECORD OF INSPECTION
Foundation /` 9 �J / FrameK /
Stucco Finish
1689 Milky Wav A. Smith ��
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