78146 F (2) .7385 Rainbow Drive � Q
Tract No. LotNo.
CITY OF SAN JOSE BUILDING DEPARTM NT
` rAPPLICATION FOR BUILDING PERMIT �r <=��' �
Date �,�� cel 19 7 Permit No.�g L�_ F-
Application is hereby mad o a 't to G/" �—
a�story, Type n Use Zone �_ 3•
at t_t2�2 _rte/– Occupancy
to be occupied only, as ce
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire rinkler
Emer. Elect:
Estimated Value of Improvements, $ ?/��� N 73 – 7– ZOD
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any mann so as to violate the workmen's compensation laws of California. �0.,�(�,^,,A,
Ownen
r �O ~ , Address IR 7.
cQ0.�Ft r5
By Address '70 aQQw c(&b, ?o�
RECORD F INSPECTION
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