60949F 1113 Stafford Dr
'I Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMAPPLICATION FOR BUILDING PERMIT `
Date_c(/ l y , I g4j- Permit No.(�—�
Application is hereby made fora permit tor d
a / story, Typ N C." S Building Use Zone '
a} / —s Occupancy
to be occupied onlyy/b4�X,f���.Parking Space
in accordance with Plans, Specifications and Plot-P Ian filed herewith. Fire Sprinkler
P
Estimated Value of Improvements, $_100)6 o�-
'
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
S'Ei4w�✓ork`edra''s compensation laws of California.alifornia.
Ower Ur *, Address 1113
oddress _ /-n
RECORD OF INSPECTION
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