56206 (2) 7540 Tiptoe Lane
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date's'�4 , I9_� Permit No. Z0
Application is hereb made for a permit to r?,t4 2•13d)& To
a__/—story, Typeidb Buildi Use Zone
11�
at Occupancy
to be occupied only as4G4 }9, `�' ,p Perkin�gp�S�ace Z—
in accordance with Plans, Specifications and Plot-plated he�iaG' "� n r
Estimated Value of Improvements, $ V"t —
I certify that in the performance of the work'for which this permit is issued I shell not employ any parson
in anyneo th�work ns compensation laws of California. •'
CC/
Owner / Address �SYO �ip�tia iii .
By Address
RECORD OF INSPECTION . I
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