66337 (2) 1186 Stafford Drive
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Tract No.�pp Lot No._9
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 'W
Da+e 1 ,6 Ukof , 19Permit No. 66 3 3 7
Application is hereby made for a oeuni+ fo CA07r MY GT
a Y. Type -S 1 !•Building—�—�—Use Zone
1 )/r7�
Occupancy
o
+u Parking Space
be occupied only as PvT' �'`^ r
jniaccordance with Plans, Specifica+ions and&lo�n'fileed��th viir prinkler r
Emer. Elect.
( Estimated Value of Improvements, $✓/ ��
I certify that in the performance of the work for which this permit is issued I shall not employ any person
n any manner so�as�to violate the workman's compensation laws of California.
jOwner Ir��)t W • SO&PAW — Address to RIO Si.g o2J�
y J'm/JSET aais Address ap loe S OJjLCHE�vR
RECORD OF INSPECTION
Foundation q— ,9-70 AAZ4�ame
Stucco Finish / 0
1186 Stafford Dr . F . Soukup
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