65357 992 September Dr . �7
Tract No.3Q'2/Lof No.�
CITY OF SAN JOSE BUILDING DEPARTMENT
APP (CATION FOS g�BUILDING PERMIT RW
Date �' 19 % Permit No �3 -r
Applic ion is hereby made for a permit to
a_�s{ory, Bu' i Use Zone
at ��`-i_{.i' �L�_�. -' Occupancy
to be occupied only as X rnnt,�m. � arking Space
' rinkler
in accordance with Plans, Specifications and Plot-pl i erewith
Estimated Value of Improvements, $ �• �y0
I certify that in-the performance of the wor for which this permit I shall not employ any person
in any manner si
o es to viol { workmen's compensation laws of California.
Owne Q,�r•4�,Qs i� Address
g Address
y RECORD OF INSPECTION
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Stucco 4— Finish
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