83210 1345 Crestline Drive
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION YQR BUILDING PERMIT
Date / 6 JJT�'� l qUPermit No. Z-1 o
4herApplication ismade for a permit fo?5(�
a _story, Ty ild�—iOS4
Use Zone 2
at ccupancy
®DI) ng Space
to be occupied only as
Fire Sprinkler
in accordance with Plans, Specifics+ of- n it �he,� sG
Emer. Elect.
Estimated Value of Improvement
i
I certify that in the performance of the work for which this permit is s ed I shall not employ any person
in any manner so a to violets the w rkman's com pe nzefion laws of California.
Owner�r� ���" Address /7t
r
BY Address 7�
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
1345 Crestline Drive R. M. Travis
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