NO PERMIT NUMBER (2) 7642 Peach Blossom T
UBC 1973
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 197 — Permit No.
Application is hereby mad�or a er�to-,, 2 �1J
a—/—__story, T e Buildm Use Zone —l
at���._. G/_7//� CC �Ylc`�%1/L ��jj��AA Occupancy
to be occupied only as-A— ---f 1Vjr ISr'g Space
Ftre Sprinkler
in accordance with Plans, Sp, �
cifications and Plot-plan filed herewith. Emer. Elect.
Estimated Value of Improvements, $��Ql2i6I�—•
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 .folate the workmen's compensation laws. of�C/aliifforniiaa�
OwnerA :�/lz ��_ _ Address
By �1.���— Address/o o
RECORD OF INSPECTION
Foundation __ Frame �:�NI
Stucco.-------
7642 Peach Blossom 260=601N�
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