84071 1566 Primrose Way
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date� � / 19
J Permit No.
Application is hereb made,for a permit to
a story, Type ��u�(-ding use Zone
at��/ Ver" Occupancy
to be occupied only as �'� �2 I ::O.lG f�/�'ycSDv Parking Spm_—_
in accordance with Plans, Specifica#ions and Plo+plan filed hefFv�SpfinFler 61
0 Emer. Elecf. 0
Estimated Value of Improvements, $/, 7�a
' I certify that in the performance of the work for which this permit is issued I she n employ any parson
in any mann so as to violate th workmen's co ensaCon laws of California.
Owner ��= -Z S Address icy
B 5 - Address / C
F INSPECTIONOi:4,'v4i
Fo ation
Stucco I Finis
1566 Primrose Way C. Levelly G
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