96294 (2) 1051 TUSCANY PLACEes
Tract No.,6_ o Lot No. 7
CITY OF SAN JOSE BUILDING DEPART.MPT .
APPLICATION FOR BUILDING PERMIT
�/
Date ' , 19 Al/ b Permit No.
Application is hereby made permit to.
a_cg. sfor , Type — Use Zone
at �05q Occupancy
to be occupied only as
It' Space
Fire Sprinkler
in accordance with Plans, Specifications an lot-plan filed herewith. mer. Elect.Value of improvements, $ 2o� Co •c.w&0
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws 30801Oornia.t..tc Seca Sa>�.ra
O ppND�1FI1SDn$0 �_ Address
By QA�B� Address xnpg 03ontt St S41
RECORD OF INSPECTION
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