60781 F (2) 7456 Tiptoe Lane
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
cc//^ / APPLICATION FOR BUILDING PERMIT
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Date / , 196—�_Permit No. 7 ��
Application is hereby mad for a er it to � ✓ a-—(51/
—
a _story, Type i �g Use Zone D?
at ys�o r�Te� _ �,�J�j� Occupancy
Space—
to be occupied only as w/� ' �/�U��9 Space
in accordance with Plans, Specifications and Plot-plan filed herewith.
ire Sprinkler
Estimated Value of Improvements,
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. 22--le-
By
fnm�/ Address ?5 5 6 L/�lOE
By_�'U/V ii$'7�- S Address
�J RECORD OF INSPECTION
Foundation s �� Frame
Stucco Finish
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