94200 7774 ORO GRANDE PLACE
Tract No. Lot No.�
CITY OF SAN JOSE BUILDING DEPARTMENT
AP LICATION FOR :BUILDING PERMIT
Date / , 197 Permit No.� FW
Ap Ii Ii is hereby made fore permitpermit t� /wT 55011'01 OL
a_r' story, Tye _ �Bu'Iding . Use Zone
at ��'OIR Occupancy
to be occupied only as. t" A3(:- �U/ a0 ace
in accordance with Plans, Specificaf ions and Plot-plan filed herewith. Fire 'Sprinkler.
Einer. Elect.
Estimated Value of Improvements, $_ / U G U
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.
Owner . / Q, 6-ef2<l) ) Address '�7;;��7' 0Y•,s
By a 6�0 r C r C /c' Address JJ'f��
RECORD COF INSPECTION
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