92625 7543 Moltzen Drive
Tract No. �y�U Lo} No. /�7 X973
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date Permit No.
Ap cation is hereby ade for a permit #o
a_� stor , Type tr ' ing"� A''fUse Zone _���
a+ — Occupancy
}o be occupied only as_/ / AH S c
Parking Space
in accordance with Plans, Specifications and Plot- r erp�yrs/ me . ec#.
Estimated Value of Improvements, $ Mvo
1 certify that in the performance of thework for hich this permit is issued I shell not employ any person
in any manner so as to violate the workmen's compensation law��s��f California.
Owner
/Z L% Address T'-)'�oX /Z �`ca�[=/2 Ti•vG
BY Address
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RECORD OF INSPECTION
Foundation Frame
Stucco
Finish
7543 Moltzen Drive Trenell
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