78332 (2) 1149 Stafford Place
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
G• APPLICATION FOR BUILDING PERMIT 2
DatePerini+ No. 7�`3✓
Application is herebjad for a
a
story, T p `" _ Buildin Use Zone — l
cupancy
rking Space L
to be occupied only s — • 1..-
i Fire Sprinkler
in accordance with Plans, Spa cifics#ions a d,P.lof-plan i r irewifh. Emel�Elect.
Estimated Value of Improvemen#s, $� —? •
I certify that in the performance of the we r for which +his permi4 is issued I shall not employ any person
in any manner so as to v" late the workman' ompensation laws of California
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