65635F 1106 Steeple Chase Lane
Trac} No.A9 73 Lo} No.6ZS
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT cry
Date z / 19 7y Permit o.
Application is hereby made fora grmi} t l
a story, Type - Use Zone
at & Occupancy
to be occupied only asP�/ vb r a
in accordance with Plans, Specifications and Plo+-plan filed he ewi}h.
r r I r�
Estimated Value of Improvements, $
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manngryso as to violate the workmen's compensation laws of California.
Owner ��
By /�(' GGvf�, nvacs
RECORD OF INSPECTION
Foundation �L1 �7Q �Frame
Stucco Finish q�
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