62128 (2) 7699 Squirewood Way
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 6 � Z�
Date - 7 — /( - , 196 Permit No.
Application is hereb mad for ermi to
a_ story, T e Use Zone 4-,z,8 L
at Occupancy
to be occupied only
Z
in accordance with Plans, Specifications and Plot-plan filed herewi ��
Estimated Value of Improvements, $ . 6040 d-'7-
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
in any manngr so as to +iolete the workmen's compensation laws of Celifor
Owneri 1 - a `✓Z sg�- G —Address 7`
Y
s Address
RECORD OF INSPECTION
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