73143 993 Miller Ave .
Tract No.2S-i Z Lot No.
CITY F SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date_ a/ 19 '7 L Permit NO. 7 31 11 3
lication is hereby made for a permit ttoo p 10')( 1 P ' Pa 44v-r-r 1&4'4-1
a story, Ty,pF�,e�_� Building Use Zone Z
at 3 `'/r� �/f�.r� �w� � G/'3a `� Occupancy
to be occupied only as 11� act Civ'/ l 2/� Parking Space_
in accordance with Plans, Specifications and Plot-plan filed heree4th. Fire Sprinkler
Emer. Elect.
Estimated Value of Improvements, $ 4'0'7)
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.
Owne P 21� -^ "-� Address aenr �a^ r�-�.T
By Address
RECORD O INSPECTION .
Stucco
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