70163 (2) 862 E. Estates Dr.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date_ — 3 19 �� Permit No.
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Application is hereby made for a permit to t
a_I sfor Type _ uilding Use Zone �7^�
a# Q'/_'7 ''-, z3 pancy--Y=
to be occupied only as p ar Space
6 /t7 /111 4 Fire rinkler
in accordance with Plans, Specifications and Plot-ea a errem . er. Elect.
Estimated Value of Improvements, $_'' 7sa q
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 workmen's compensation laws of-California.
Owner sAM�s HA/UsEN Address W E ES2W*-S DR
By KEN /SAN SGN Address .SAME" A5' ABOUE
RECORD OF INSPECTION
Foundation Frame
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