86785 (2) 651 beptemoer ct.
Tract No. —2 7 Lot No. /l:
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT i
Date .S /_2 , 19 7.5- Permit No.u�a7 p pJ
Application is hereby m.0de fora perrnit to
a story, Type --5 'd Use Zone
at ?'? / - -f Occupancy
to be occupied only as //all 6j in9 Space
in accordance with Plans, Specifications and Plot-plan filed herewith. "'e Sprinkler
Estimated Value of Improvements, $ � GU Emer. Elect.
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's compensation laws of California.
Owner,44'/
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