78037874 k6birldell way
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date — I 9 19 7 Permit No. C 7 FD( 3
Application is hereby made for a permit to P%� (G E t? (ST iN G L TT f PAT u
a I story, Type ` R '5 'Id' Use Zone R 13 6
at —787 F (LO, I4 Occupancy
to be occupied only as ; Sq. feet a
in accordance with Plans, Specificatio an I t -plan led ere i at i g Space
Estimated Value of Improvements, e Sprinkler
Emer. Elect.
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner ) H f�( S (i C- L ( V AAddress —7S-74— fZ0 ('JC GLc wvlY
By C—TTb Address 7 O K-2 F V G --t\ 10 A P C)TE LLf\
This permit shall expire and become null and void if the work authorized by it is not commenced within
120 days from the date issued or if the work is suspended or abandoned for a period of 120 days after
commencement. - . `
FINAL INSPECTION
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