57765 F 7522 Tiptoe Lane
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date L;�S_ , 19 6, '�y Permit No. /
Application is hereby made for a permit to i c/�/ riO
a_ story, Type u'ld' 9 Use Zone
at7-5-.2 rr 7'0 e 4 Occupancy i
Parkin S ace
to be occupied only as �`�/-p "T Yo 6-Yy 9 P.
in accordance with Plans, Specifications and Plot-plan f' rew#
Estimated Value of Improvements, $ e �� ZL)
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner sons to violate the workmen's compensation laws of California. _
Owner _ - Gz/l i =l` Address 7 5 'fes --2 ' 7—
By. Qiz. ,G� Address 5il�c`G�• �t•�.
l�� , J/,�`�` ,.,.•; ECORD OF INSPECTION
Foundation Frame —
Stucco Finish •� 2' by
7522 Tiptoe Lane G. Gundlach l _
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