88387 936 SEPTET BER DRI \E
Tract No. Lot No. UBC 1973
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 8 p n
Date 2• 19_7', Permit No D LS
Flicati is hereb me e a permit to
a /story, T U e ne
atFancy
to be occupied o y I e9�f
in accordance with PI ns, Specificafions an Plot-plafi re It Firep5 rinkler
Emer. Elect.
Estimated Value of Improvements, b
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any rpgoner so as to violate the workman's compensation laws of California.
Owner Address
By � ��e� Address SLC'(IC C{V ��—[ /rs
RECORD OF INSPECTION
Foundation
Fr 1S/
Stucco
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