93228 (2) 7515 MOLTZEN DR. 9pO L�G7/
Tract No. 5480 Lot No. AA UBC 1973
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date April 2Z_, Ig-76 Permit No. q—TZZ
Application is hereby made for a permit to bu i I d
a one story, Type 5.. w gar Use Zone R1 H6
at 7J�/ /n0� � Occupancy_I—
to be occupied only as • Parking Space 9
�
in accordance with Plans, Specifics PIo yWI� re Sprinkler
—
Estimated
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' compensation laws of California.
Owner TR NEL Address P.O. Box 612, Cupertino 95014
By Address 1023 Tulipan Dr. S.J. 95129
rt F t of RECORD OF INSPECTION
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