82176 992 September Drive
Tract No. Lot No, 020
CITY OF SAN JOSE BUILDING DEPARTME►}J
APPLICATION FOR BUILDING PERMIT �
Date 6/ ,P , 19 �j �rPermif No. D 2- 7&
Application is hereby mad f a permit to ul�l
a�,sheyy, Type _ Use Zone
at q9� SQm_b�RR. - Occupancy
to be occupied only as O� ain Space
in accordance with Plans, Specifications and H -plan filed herewi /`"
Emer. act.
Estimated Value of Improvements, $�-S��•O� '
I certify that in the performance of The work for which this permit is issued I shell not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner CA Address 'I Q
By C ^A Address 7.290 Ale- AV 129
RECORDS OFF INSPECTION
Foundation 7� ` 7 ¢ ���"' "— Flme
Stucco Finish
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