79358 E7415 Plum Blossom Drive
Tract No. 370 Lot No. ;OZ
CITY OF SAN JOSE BUILDING D
APPLICATION FOR BUILDING PERMIT /
Dafa �� r' , 1973 Permit Np.— �Z
Application is hereblr made for,0.,per%)it to f
a stogy, 1 e r
to be occupied only as
in accordance with Plans, Specifications
d ni g� Use Zone
Occupancy
Parking Space.
n filed herewith:�fire Sprinkler �G
Emer. Elect.
Estimated Value of Improvements, $%O"Dfu Ati
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 to violate the workmen's compensation laws of California.
Owner Address? �
gy Addres�
RECORD OF INSPECTION
Foundation L'�6-1-3-6 /J Frame
Finist
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