55887 7621, Prospect
Tract No. 4254 Lot No. 49 220D
CITY OF SAN JOSE BUILDING DEPARTMENT
. APPLICATION FOR BUILDING PERMIT
Date January 16, 1968 19—Permit No.55 e)
Application is hereby made for a rmit to guild
V_R i t
a 1 story, Type_ Building Use Zone oe
at 7621 Prospect Rd. Occupancy
T Parking Space_
to be occupied only az One Family Dwell �L] A /IJ rin
in accordance with Plans, Specifications and Plof/-plan filedl4e�re/wit�h. Fire�Scl—
prinkler
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 workmen's compensation laws of California.
ZOwn/e Ass c Inc Address 1175 So. Hs 9 San Jose
/ y
RECORD OF F INSPECTION /
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