576777587 Squirewood Ave.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Pate r Z rc 19 _Permit No. 7e 17
Application is hereb made for aermit to '� k/
story, Type g . Use Zone
at J 2 :u e''E Occupancy .�
to be occupied only as a lef5&M K�Y��i^ ace y
% �� Fir Sprinkler
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $ 3600 (20_ f:;r g -
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any manner so as to a_te wo i ens compensation lags of Californias
Owner t7 v � r Address u ��
By _ A Address -2 4 ir 7 L I�
RECORD OF INSPECTION
Foundation G � Z., �y Frame '7Aq=
/� .3
c...___ IY_ D. 4� wA/e w __ Finish � OP/!n 6
7587 Squirewood Ave. Q Don Gotelli 1 r'6
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