84392 1150 Stafford Drive r
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date�� �� Ig74/ Pe it No.��/71F2-3/(/
Application is hereb ma fo� a per it o W — o
astory,, y e _ �r *�+ /4Building Use Zone
at /�-5—K i' Oi' �Y/vG �i� o���„�w,. AOccupancy
�pp ((�a //�jP,arking'iSpace
to be occupied only as� 1t'!` �``I/r W6�
in accordance with Plans, Specificat/ions and Plot-plan filed herewith. FEmer. Elect.-
Estimated
r
h �r Emer. Elecf.
Estimated Value of Improvements, $ /do O
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any ma er s es to vrol eP workm n's compensation laws of Celiforq*
Owner~/ S /7 j � Gl P Address //SO✓✓ A�
By d / Address
REC RD OF INSPECTION
Foundation Frame
Stucco
�Z: . I Finis �i�NGs�l7�✓
1150 Stafford Drive Mr . & Mrs. S. Paul Davisg,P6
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