64135 (2) 7634 Squdrewood
Tract No. Lof No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT y 35-
Date 19 70 Permit No.
Application is hereby made for a permit o v
a—/—story, Type Use Zone
at To Occupancy y
to be occupied only as �/Q'!✓l 4ES (j� b,� y„par ' 9 Space
in accordance with Plans, Specifications and Plof-pl n fil d here�w�i/}}fj'
q O u
Estimated Value of Improvemenfs, $ �do • / 1
1 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 workmen's compensation laws of California. o
Ow�ner_"W � ro ��/Icn_J _ Address _7b_.�L, y da. C
ByLtvcr�Lt1 /�&4 � Address
RECORD OF INSPECTION �V
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