75637-F (2) 7679 Squirewood Way
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTfN��N q
APPLICATION FOR BUILDING PERMIT _
Date 192
Pe it N
Application is hereby made for a permit to
a_
—, story, Type Z- f
y. Use Zone
at_Z�7q_�Q _ Occupancyto be occupied only as L _s OZ Parking Space
in accordance with Plans, Specif c�+ions anI prinkler
Estimated Value of Improvements, $_/2-00 .9
/ 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 workmen's compensation laws of California.
Owner G COMA 4 p WL'I S S Address T67-J S Q VIN 9 tl ce b
ByCC A= /0rV Address 217 L)
5- C 6H 2
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RECORD OF INSPECTION
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