93228 (2) 7507 MOLTZEN DR.
Tract No. 5480 Lot No.___C�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT p q
Date Aprl 1 27,, 19 76 Permit No._?,—vj z
7
Application is hereby made for a permit to build _
a onestory, Type 5-Res. it w. att. ar.Use Zone RIB
at O� _ G , Occupancy 2
to be occupied only as-fle farm�y res. Parking Space
in accordance with Plans, Specifications and Plo p ed hey�cfj�/ rrpunkler
Estimated Value of Improvements, $-II��i�%�/�- Ct
I 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 tc violate the w rkmen's compensation laws of California.
Owner' T NE _ Address P-0- Box 612, Cupertino 95014
By Address 1023 Tulipan Dr. S.J. 95129
bert J. Mathot RECORD OF INSPECTION
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Foundation 47-- '746 �l`�f i_ ame 7 6 •7L "�1��CB�
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Stucco Finish
7507 MOLTZEN DR. TRENELL 260-601N
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