79184F (2) 1151 Stafford. Drive
Tra-ctjNo. Lot No.
CITY OF SAN JOSE? BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT )%
Date lD-2_t 19 73 Permit No..7!7/Azr.
Application is hereby made fora permit tornL Cit-,�a=o s i✓, o",
a_�story, Type . Building Use Zone /f".
Occupancy_ -
Ov / Park'ng Space
to be occupied only as -- '�� �KVFir'�e- Sprinkler
in accordance with Plans, Specifications and Plot-plan'filed herewi#h. /r Elect.
Estimated Value of Improvements, $2 no j fi.So
1 certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any manner so as to violate the workmen's compensation laws of California.
Owner � � moo. Address _ n
T
By Address
RECORD OF INSPECTION
Foundation
Stucco Finish z.-'l 7
1151 Stafford Drive 9 L. Havenstein
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