26981 F 7654 Peach Blossom Drive
Tract No4W--7— Lo+ No. / 7
CITY OF SAN JOSE BUILDING, DEPARTMENT
APPLLI//CATION �FyOR BUILDING PERMIT /Lr*
Dafa T— 19_/ _Permit No. 2 ` g
Application is hereby made for a per it to
aTstory, Type Byilding _j?r,L Use Zone
at t" L _S.SOM IP. occupancy J
to be occupied only az�0� (7 d ( ZIj'/ 1✓/(/6�,arking Space
in accordance with Plans, Specificaf ions and Plot-plan filed herewith. Fire Sprinkler
-
in 60-o O o Emec Elect.
Estimated Value of Improvements, $_1
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of Califorpia
Owner M.4pK SRM(j IA/t_ Address 7r!vS`/ �EO$SoMBjj
B A/Wh 9 foo fs Address 1Y7Z5 A6cd LADo
>�RECORD OF INSPECTION
Foundation Frame
Stucco Finish,
7654 Peach Blossom Drive Mark Samoline
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