59926 7617 Peach $lossom nr.
Tract No. Lot No. (�//✓(�
CITY OF SAN JOSE BUILDING DEPARTMENT
w APPLICATION FOR BUILDING PERMIT
Date / - 19��Permit No. 9Z&
Application is hereb a mad for a permit +
:—/—story, T e I Building Use Zone �—
+ �C .ar, ` Occupancy /
OF -to be occupied only as A/ 125--,
�,Parking Space
in accordance with Plans, Specifications and Plot-plan fiille�d'herewivvvvth,�Fire Sprinkler
Estimated Value of Improvements, $ O U
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any manner so a to violate the workmen's compensation la of califorp /J
Owner_L- �� Addresz �� 7 U-/.K�c.�
By �/ _4 L O K/ Addresr�y//lam �J .l`I i
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RECORD OF INSPECTION
Foundation I �"�� A,( � Frame
Stucco Finish _
7617 Peach Blgesom Dr. CJ L. .Gray
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