96294 1047 TMCANY PLACN
Trac# No.�-� Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
�APPLICATION FOR BUILDING PERMIT p/ ^�},` �
Date �/� T 19�� Permit No. `yaiC7r
a rA plication is hereby me r a permit top
story Type Buil Use Zone
a+�� Occupancy T_
to be occupied only as
Parkin Space — ��- —
r' ler
in accordance with Plans, Specifications en 1 an'ta= m lett.
Estimated Value of Improvements, ; '�g a-q- 0
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
i any manner so as�to violate the workmen's compensation laws of California. $...Cm
O er tY�Zfa1 r �• Address 3080 O1cOtt Sty
ByLUAAddress
4Q / ECORD OF INSPECT
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Foundation Frame
Stucco "" 'Finish
260-601N
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