96294 (2) 1055 TUSCANY PLACE
Tract No.ffg4* Lot No. 11$7
CITY OF SAN JOSE BUILDING DEpART�ftENT
p / APPLICATION FOR /BUILDING PERMIT �ly�'SAe t
Date //IT 19 7/0 1��,Pe�rm' ;+ No._& 17 -
A plication is herekime r a permit fo (�'^��/
a sfory, Type —Building Use Zone �—
a+ 85 _
Occupancy
+o 6e occupied only as /�arking Space _
Fire Sprinkler
in accordance with Plans, Specificafions and of-plan fed herewith. r 16f
Estimated Value of Improvements, S S$ • �
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in e y manner to as to violate the workmen's compensation laws of California.
Own ND SA HOPES _ Address 3080 Oloott St:.Sar+ra
B Address AQRQ 03 rata St . s.C;,
y
RECORD OF INSPECTIOA--'- —�
Foundation 76 Frame '$
Stucco _z_e / Finish S f
Apt o��4 //��76 � � �iO/—/0-77 260-601N
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