689633 7485 Prospect
Tract No. 4t PA, Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APP`L`ICATION FOR BUILDING PERMIT
Date' 19 19 -7 ( Permit No.
ation
Applics hereby made for a permit to. T 1
a story, Type e B ildin9 •r Use Zone
at�t/?1"d` &021 cam r._ �y Occupancy
to be occupied only as / Fa411 �/ ///� Parking Space
(d'/
Are Sprinkler
in accordance with Plans, Specifications and Plc plan file herewifh.
Estimated Value of Improvements,
y� o, Emer. Elect.
-
I certify Ther i the performance of thew work' or which fhis permit is issued I shall not employ any parson
in an manner as to o fe The• workmen's compensation laws -C liforni
Owner Ans _ Address
Address " r
ey RECORD OF INSPECTION
(� 22, IZWf'�
Foundation Frame
Stucco innish
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