67000 7941 October Way
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date h f f , 19I I Permit No.
Applicati n is hereby made for a permitf IS-' ,K f
a_I_story, Type Builds g Use Zone �.
at y ./ Occupancy_'15-
to be occupied only as ` r Parking Space Z
e
in accordance with Plans, Specifications ands -plan�il4d� ��!Emer. Elect.eA /4AF"i�e Sprinkler
rawfth. jj
3 f b�
Es+imafed Value of Improvements, $
I certify that in the performance of the work for which this permit is issued I shell not employ any person
in any men}ser so es��f violate the workmen's compensation laws of California.
Owner /r ��,-�7"�-A A//PV 41 A Address
By Al 7ur/rr Address -7 E2M4'2-14 L
7 RECORD OF INSPECTION
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Foundation / ` 4Z.6 Frame 6 7�
Stucco Finist 7-J--77
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