59633 7641 Peach Blossom Dr.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT G
Date 29 - 1 Per it 7 3
Application is hereby made for a permit to
a_ story, TypeCBuildi-g se Zone_
a} �zc. W_ ern Occupancy
to be occupied only as ��`'j��;ing -ice
in accordance with Plans, Spe fications and- of-plan filed with. FiretSp' k�er
Estimated Value of Improvements, $ t3-_�74il �S
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 t iolat the work on's compensation laws;'of California.
Owner . n Address ��( —
gy _ Addres
RECORD OF INSPECTION P 7 •� ,x-1 I -1 —Gy Q�J
Foundation Frame 12.-2- o-�I/ ZLI"4 ..a
Stucco ' Fnsh 1012J `/ _A'6
7641 Peach Blossom Dr. 9 . L. R: Darknell
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