83652 949 Rose Blossom Dr. (Cupertino)
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
_APPLICATION FOR BUILDING PERMIT
Date / ' �� 197 Permit
Application is here nr�dv for permit +off 1;7
a /
storv. Typ u' Use Zone
at _ ria0 Occupancy /
to be occupied only as • // ararking Space_
in accordance with Plans, Specifications a lof-paT F file heawlre Sprinkler
Emer. Elect.
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Estimated Value of Improvements, $4 2G 01'
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 viol to A workmen's compensation laws ofCaliforny, a�
Owner ` —Address 7�9 r/t/s1S'P
-By Address
RECORD OF INSPECTION �f
Foundation Ffame
�1 Stucco r / - Fi i h �J—Z�
949 Rose Blossom Drive (Cupertino) Murdoch
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