95504 (2) 1036- TIISCANY PLACt
Tract No.15-9.5 S Lot No. 3
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT A5�
Date 19_/ 6 Permit No.
Applica n is he—rerb�y -r�n jd�e for a permit to
a /—story,, Typey_/ B 'Idin _ Use Zone
a+�(1.3� Occupancy_�
Perking Space �'
to be occupied only as —
in accordance with Plans, Spec fications and lot-plan f el�erewi*- '/wwZJecor( —
Estimated Value of Improvements, ; � OU o� �yj/4Q {
I certify that in the performance of the work for which this permit is issued 1 shell not employ any person
in any manner so as to violate the workmen's compensation laws of California.
St. S
Owner_ 'T Address
By_ Address 3080 oi ,+t
REC OF INSPECTION
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