57258 F7505 Peach Blossom
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Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITi3
Date n ,
Application's hereby made for
a --r
story, Type9WAS
19 an'o' Permit tNNo.
'� Bulling Use Zone
Occupancy t
to be occupied only as �✓ - - A 4Z P rking Space
in accordance with Plans, Specifications ' i•r_J L___...[aL Fire Sprinkler
Plot -plan
Estimated Value of Improvements, $
1 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 fo viole a the workmen's compensation laws of California. /
Owner Address `% i0 5),k'/(� ifs
By G1/
&-,-4'& Address o't� Tll iDsr ls�nr
RECORD OF INSPECTION
Foundation i — �--L���- ^ Frame
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Stucco
7505 Peach Blossom
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