64304F 8051 Presidio .Dr.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT - NS
Date 2— 2 7 , 19 7 D —Permit No.
Application is hereby made for a permit fo
a story Type wilding Use Zone _�:"
at ,PO S/ ' i Occupancy_
Space-
to be occupied only as Do Parking Space
� / /p Fire Sprinkler
in accordance with Plans, Specificatioris�inlddPPd1c f-pla lr,1e9�hA vh'r
Estimated Value of Improvements, $��5�'�OO ttbb�
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner'soas to violate the workmen's compensation laws of California.
f,OwnerJ/S_r_CHALc( 1, u�'�- Address / t_P.� pro �_
By_Sp c%itcP <.�l-S Address -et-Oz )—J—,
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
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