77853 (2) 1141 Kentwood
Tract No. 2273 Lot No.�
CITY OF SAN JOSE • BUILDING DEPARTMENT
.,APPLICATION FOR BUILDING PERMIT 7 _
Date 7 = , 1913Permit No.
Application is hereby made for a permit to Bld.
a story, Type Sbr POO Use Zone
ai I — Occupancy
Parking Space
to be occupied only es �
r yf� Sprinkler
in accordance with Plans, Specifications and n file mer. Elect.
Estimated Value of Improvements, $ �— •
1 certify that in the performance of the work for which this permit ,s issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California. �
Owner LZ GS Address //f�/ It
too -
e
Address'-495 S. Winchester Blvd.
RECO OF INSPECTION
Foundation Frame
Stucco Finish
1141 Kentwood Law
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