90181 (2) 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
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Stucco Finish 9 10
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