80767 1162 Stafford Drive
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date �'- -7 19 Permit No. U
Application is herebymade for a permit f � rz)
—/—story, TypeBu ildin Use Zone
a} / —Occupancy
to be occupied only as �r/-}-i2. /�.Y•L+l'rFActt Parking Space Fire Sprinkler
in accordance with Plans, Specifications and P164plan filed herewith.
Emer. Elect.
Estimated Value of Improvements, $ PB !�
I certify that in the performance of the work for which this permit is issued I ihall not employ any person
in any manner soa to violate the workmen's compensation laws of California.
Owner � l LL 1 Address
By Address "'51, /FiS0D f?
� A �RE RDD OF INSPECTION
Foundation C�J ��`�vim'�" " - Frame 9/7- 7¢ �ld,��
Stucco x �Finisshh
1162 Stafford Drive moi" -J• Phillips
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