95504 1040 TUSCANY PLACE PL*" 3 a
Tract No. !03S Lot No. �-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOI BUILDING PERMITv
Date 19-7 Permit No.
Applicaii r is hereb meds for a permit to
a_�story, ype _ 8 'd'n Use Zone / �
Occupancy
Space-
to be occupied only as Paring Z,
h�$(�rdflklar
in accordance with Plans, Specifications an Plot-pl i e e i
;��rb Emer. Elect.
-
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 manner so as to violate the workman's compensation laws of California.
Owner =� Address 3080 0 Cott S+ S C
By Address 3080 01C t
RECJWRD OF INSPECTIO
oundation s/jy1,f L -ql1 G6az,fA.— Frame
Stucco J, / , Finish
260-601N
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