2199 7955 RATN30V DRTV
Tract No.— Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date — _, 19 7_7___._ Permif No,01;:�—
Applica+ion �s hereby made for a permit to �q/ l�O
a_�story, T e _ - d' Use Zone; Rte/
at�9' � ��Occupancy =
to be occupied only azParking Space Z
in accordance with Plans, Specifications and Plof ,Ian filed herewith Fire Sprinkler
lt.
� Estimated Value of Improvements, $�p
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
in any ma er so as to, viola}; } e workmen's compensa}ion laws of California w) �!.
Ownerrr� �f S�i%� Adydres _v9s7iR.OZIA .6
RECORD OF INSPECTION
Foundation Frame
Stucco Finish g'��7�
260-601N
7955 RAINBOW DRIVE BIRKSHIELD
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