87292 1390 Primrose Way
Tract No. Lot No. UBC 1973
CITY OF SAN JOSE BUILDING DEPARTMENT
//__ APPLICATION FOR R BUILDING PERMIT x IrlL Z Ftr
Date Y , 19 J Permit No.
Application is hereby mads for a permit to `T
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stor Type Building Use Zone
W R 1t' Occupancy
to be occupied only as�� �� 1349 `pale'
in accordance with Plans, Specifications and Plo-plan filed herewit FireSprinkler
Emer. Elect.
Estimated Value of Improvements, $
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 workman's compensation laws of California.
Owner Address
g, K_ Address
r,t��RECORD OF INSPEyCTIION'
Founda#ion ` • f S � Frame �
Stucco Finish 7
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