61703 1182 Crestline, Dr
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOcR BUILDING PERMITz Per 7
Date -3 19
No 3
Application is hereby made for a permit to
story, Tye u' Use Zone
at �-Occupancy /
to be occupied only as ✓ Parking Space L-
in accordance with Plans, SpeiificatiCXan of-plan fil �wi� _#hv.
Fire Sprinkler
Estimated Value of Improvements
I certify that in the performance of 1 e work for which this permit is issueds4 hall not employ any parson
in any maruKr sy9 as to v 4 the workmen's compensation lags off CCaaliffornia.
Owner_J a h /✓k'��f Address
By � � ' -1 Address
RE ORD OF INSPECTION �j Q
Foundation'
Stucco Finish /s W7s� QiMtiA
1182 Crestl, ne Dr John Plungy I L
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