84513 949 Rose Blossom Drive
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT p �L
Date:? y 6L ;': 43 , 19 Pe1m4jN� '
Application is hereby made r a permit �o (;
a /—story, Typ a Z9ne
at _ ve Occupancy 1
to be occupied only as �tJ2Q Parkin SpaceSAf
�—
in accordance with Plans, Specifications and o - n fil.� mkler
y=" Emer. Elect.
Estimated Value of Improvements, $ � �? "—
I certify that in the performance of the work for which this permit is issued I.shall not amploy any person
in any m k er so 'e3,,To violet he workmen's compensation laws of California. i
Owner /. S)XI9j . /x{40 Address � � Vin:¢
Address
RECORD OF INSPECTION
Foundation Fr me &
Stucco Finish Q rel
949 Rose Blossom Drive S. J. Murdoch
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