67012 1106 Steeple Chase
Tract No. Lot No. r
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT/ y�
Date /6- ;? !/ — o --� 19 Permit No.1, (D
Application is hereb made for' er o
a_�,,r—r-_� story, Type "r!! - Use Zone A91_
a+ 16nS. AA-AI� )�,,6�� vG�r,s _ Occupancy
to be occupied only as I�Uc) ���� I � � P pace
rinkler
in accordance with Plans, Specifications and Plot-plan fi ed herewith. Emer. Elect.
Estimated Value of Improvements, $
I certify that ' the perfo an of the work for which this permit is issued I shall not employ any person
ih any manner so s to v' i h workmen's compensation lews��-0aliforDia. / A/
Owner �' ' Address n'�
By Address
RECORD OF P TION
coMAt-rrc� �6 3 S�
Foundation Frame
Stucco Finish •� Z � 7Q /'��'a`v`a'
1106 Steeple Chase Orr
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