83426 (2) 1566 Primrose Way
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTME7
A/PPLICATION FO BUILDING PERMIT t1
Dat 19 197 Permit No.
Application is hereby made for a permit to /
a 'story, Type�� s ' Idin /r
at / s—e" , � �I � �� Occupancy
to be occupied only as r ' rM Parking Space
9 Fir4' Sprinkler'
in accordance with Plans, Specifications and Plot,01 n file hvewitl�, /iec
i�� Emer..Elect.
Estimated Value of Improvements,
I certify that in the performance of-the work for which this permit is issued I shell no)-5;7p loy any person Imo-
in an manner so as to violate he workmen's o ansation laws of California.
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Owne Address ry
g - Address -
R CORDI OF INSPECTION,,q,./—/-,1;2
Foundation ^frame'
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Stucco lF nisg
1566 Primrose Way C . Lavell
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