54827-F7496 Rolling dale
Tract No.
CITY OF SAN JOSE
APPLICATION FI
Date 9- / 9 19_
Application is here6v m e for a er
Lot No.
BUILDING DEPARTMENT
BUILDING PERMIT7-
a story,T pe%L Use Zone
at �tf (/ Occupancy
to be occupied only asCC pace Z
in accordance with Plans, Specifications and Plot -plan filed herewi#h. re Sprinkler
Estimated Value of Improvements, $ �Oo
I certify that in the performance of the work for which this permit is issued I shall ofa oy any�°rs
in any manpar so as violate the workmen's compensation laws ofCuelr�ia.
Owne Address
By Address Aar&u
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
7496 Rollingdale Meyer
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