73764 F 1180 Crestline Dr.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 2 &-
Dafe V LY 1-:7 , 19_12: Permit No.--,-/
Application is hereby made for a permit to —V
a / sfory Type i S Use Zone
of I I cfV l,' Tfsm I cl" _ Occupancy_.(.�
to be occupied only as 11a oti Parking Space
Fire Sprinkler
in accordance with Plans, Specifipth.1.1work
s d Plot-plain?fhii,
Wporm-it'is
mer. ElectEstimated Value of Improvemeo 0
I certify that in the perFormence o for which issue all not employ any parson
in any manner so as fo violafe the workmen's compensation laws of California.
Owri II_S/ CAmMor� Address /lt?> LR�Y�/r-�,f .A2
By CA V00140mrr Address AZ±2 "'d.9
P/w RECORD OF INSPECTION
Foundation Frame
Stucco Finish
1180 Crestline Dr. J. Scammon ' J
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