81272 (2) 908 Rose Blossom Drive
Tract No. 36 Lot No. 41
CITY OF SAN JOSE BUILDING DEPARTMENJ
APPLICATION FOR BUILDING PERMIT
Date71icafion
, 19 Permit No. g / Z-7 2_
ereby for a er '#a e n Use Zone R—/
a# @ Occupancyto basAlf/ ri Space
'// v e prinklerin acans, Specifica#ions and of-plan filed herewith. Emer. Elect.
Estimated Value of Improvements, $ 7,330 0
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
in any m ar so as to�{v.iolate the workman's compensation laws of California.
Owner 3k1 �So n _ Address
Address 15_
R , RECORD OF PECTION
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