80904 1117 Steeplechase Lane
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT,
APPLICATION FOR BUILDING PERMIT Q� �j
Date ,�5 , 197y Permit No. W y f/r
Application is hereby maclojjw a permit to 0
a_L—s#ory, Type i g Use Zone 2
a#U-7 .S-r-,4� Occupancy
to be occupied only as 1 FA ry06 1)2 2t,/�wW k� Spa
ce
in accordance with Plans, Specifications and Plotplanfiled her i�3ifh./ ler
6"
Emer. Elect.
Estimated Value of Improvements, $ o
I certify that in the performance of the work for which this permit is issued I shall not employ any arson
in any manner so as to violate the workmen's compensation laws of California.
Owne Address
gy Address
(�t;Lk� RECORD OF�INSPECTION j
Foundation //�� ^7��
Stucco Finish `/J '` 54
1117 Steeplechase Lane George Coutee ��,
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