82784 890 September Dr.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO BUILDING PERMIT }' p
Date •�Ly� 19 — Permit No. Ll Z7o
Application is here made er 't to
a_^,f'Lstor Type _ i • /h.� Use Zone �—
at K / a .(hY Occupancy
to be occupied only as ti=(' P �pace Z
an fi d her i ""
in accordance with Plans, Specifications and Plot-plan
Emer. lec'E t.
Estimated Value of Improvements,
I certify that in the performance of The work for which this permit is issued I shall not employ any person
in anyf manner so as to violate the w rkmen's compensation laws of California. ��jj
Owner / /J �/ 7 b vSk/ Address 6990 S eP14 //�
By �/ C01/� Address 7 3S' Lr �sf/eH> �`�
��� • RECORD OF INSPECTION y �•G
oundation rams
A
Stucco I Finish
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