61570 F 7712 Robindell Way
Tract No. Lot No.�
CITY OF SAN JOSE BUILDING DEPARTMENT
/ APPLICATION FOR BUILDING PERMIT
Date 4 — 2 — , 19 P rmit No.L (s7 Q
Application is hereby mad p mi t
a story, Type u g Use Zone
of / OQ/dl - Occupancy
to be occupied only as ace
/ "
in accordance with Plans, Specificaf ions and of-plan filed herewith. v rinkler
Estimated Value of Improvements, $�f Soe
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any max er so as to violat the workmen's compensation laws 7ooff,.ICnalifo ' (_ /
Owner C:�Y LVE Address 71L _C�O.�I ml�r-�i Y
gy �qL Address177 .SO• W,*,VdI1L'S1K,9 � Yv11
cAtAECORD OF INSPECTION
Foundation �'U ' 2 Frame
Stucco Finish
7712"R615i'nde13 Way 9 Clyde Lowe 4
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