90181 1143 STAFFORD DR.
UBC 1973
Tract No. 3-2/6 Lot No. /Z
CITY OF SAN JOSE BUILDING DEPARTKPNT�Q
APPLICATION FOR BUILDING PERMIT
Date /O - /6 , 19 z5_, Permit No.
Application is hereby made for a permit +o 4 �'� �
471
a stor Type ��n Building�� cu Zone
a}//¢ - � � _ (r//''�� Occupancy
to be occupied only as o d�- Irv- f+ e� Parking Space
.C►-� ire/Sp it nklerr
in accordance with Plans, Specifications and Plot-plan.fil_d'herewiAV/I C/y
/O Emer.,Eleet.
Estimated Value of Improvements, $
I certify that in the pe ormen<e of iha work for whichif is permit is issued 1 all not employ any person
in any nner so as 4 ipefa the workmen's campensa+ion laws of Californi
Ow - Address -4 P v
gy f 7 Address 14903
LRECORD OF INSPECTION
Foundation//- �- ��0/5-�-- Frame
Stucco Finish 9 10
leold 6- ;7 7rt/vim W_. _..
OBL "0=1
O ,• # esua3il sseu!sng A4i0 esor up$
vo!}eo!ldde s!y} $3x'404}ng Alxedoxd pup }oaffe pug a3xof Ilnf ui s!
xIJ L e _�� # esue3!l s x0}301+u0O v!uxof!le3 10 a}v}$ s!y yey+ s}sa}}e }ueogddy
❑ Pali} }uewa+v}s ❑ xaumo sv
rx'":{uaa!ldEe Aqspew!gp Agaxey s! esue311 s x0}301}uoo Jo} viwoi!IPO fo o}e}$ +o} }uewaj!nbeu woj) uo!}dwexq