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82784 (2) 890 September Dr. Tract No. Lot No. CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FO BUILDING PERMIT }' p Date •�Ly� 19 — Permit No. Ll Z7o Application is here made er 't to a_^,f'Lstor Type _ i • /h.� Use Zone �— at K / a .(hY Occupancy to be occupied only as ti=(' P �pace Z an fi d her i "" in accordance with Plans, Specifications and Plot-plan Emer. lec'E t. Estimated Value of Improvements, I certify that in the performance of The work for which this permit is issued I shall not employ any person in anyf manner so as to violate the w rkmen's compensation laws of California. ��jj Owner / /J �/ 7 b vSk/ Address 6990 S eP14 //� By �/ C01/� Address 7 3S' Lr �sf/eH> �`� ��� • RECORD OF INSPECTION y �•G oundation rams A Stucco I Finish 890 September Dr . Cieplenksi !-O86 w+0- esuea,l sseu!snq A4!3 esor ups •uo!}eo!!ddp s'44 sesuoy{nu APw edo+d pup {ae}}e pug ea+o} Iln} s! y ps p� # esuva,1 sio}a p+{uoo v!u+o}!!eO Jo a{v}s M {ey} s}se{}p }ugo!!ddy / (� / El pe!!} }uewo{v}s ❑ +eunw so :}uga!!adg Ag pew!pp Age+ay s! esuga!1 slope+}uoo +o} v!wo}!!pO yo e{e}s +o} {ugwg+!nbe+ wo+) uo!{dwexg