73845-F 817 September Dr.
Trat4 No. Lo# No.
CITY OF SAN JOSE BUILDING DEPARTM��
/APPLICATION FOR BUILDING PERMIT
Date �' 3�/� L , 19 Pe mi+ No.?��S�
Applicafion is.hereby made for a oermi} fo� � �—/
a_�story, Ty -�N B 'din � Use.Zone _r��
at__� �'��/ Occupancy_ �___�
/"� SG�-ear� �o-v�,h Parking $pace
+o be occupied only as R �..
in accordance wilh Plans, $pecifica#ions d Plo#-pla�Kere�//��kl r �
� m �f.
Estimafed Value of Improvemen#s, $ ��� .
I cerfify the} in ihe parformanca of iha work for which ihis permi} is i:suad 1 shall no4 amploy eny person
in any man er so es +o viole}a Tha workman's compensafion law: of Celifo nie n .
O : /J fl /� Address $�7 � a`��
Owne ?
gY _ Address+�2 �D � ��—
RECORD OF INSPECTION
Founda#ion Frame
S#ucco Finish - ��J� �j
817 September Dr . � G. . Karayan
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