96294 (2) 1051 TUSCANY 'PLACE
Tract No,5� 5Lot No.�
CITY OF SAN JOSE BUILDING DEP R4k TINT
Q/9 ^' APPLICATION FOR BUILDING PERMIT
Date'l_�T , 19 7L _ _ Permit No.
Application is hereb me r a permit f
a _
story Type �' Building Use Zone
at / I Occupancy
to be occupied only asParking Space _
�-� Fire Sprinkler
in accordance with Plans, Spa ' c r s an t-p aF fife rewr mer. Elect.
00
Estimated Value of Improvements, */`�
I certify that in the performance of thew ork for which this i s i aha oT� mpilfy y parson
in any manner so as to violate the workmen's compensation aws of California. Sta, Sage
Ow PONDER . A: F.1FGs"* Address
By > Address 3080 Olcott Stu 134
is a �96 CORD OF INSPECTION
Foundation - Frame
Stucco a - Finish S 3—
ll�j/Y6 /'r0 I 260-601N
x T09-oRz
IVAM
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