78091 906 September Drive
Tract No.- Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 7-Z`/'" 19 Permit No.
Application is hereby made for a permit 1. L77 le
a s+ ,•Type E5 Building Use Zone —�
at ,>' oN �rGiv OONGT�jccupancy
#o be occupied only as arking Space 2
in accordance with Plans, Specification and Plo#-plan 'led herewi# , Fire Sprinkler --
$
�C,
Estima#ed Value of Improvements, �
I cartify at in the performenee of the work for which this permit is issued I shall not employ any person
in any m or so as—fyo/vi lata wo an,s compo nse}ion laws of California.
Owner l �^� Address q,04
By Address
RECORD OF INSPECTION
Foundation _ Frame
Stucco Finish'—
906 September Drive Everett C. Peterson
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