52469 tJpL1�A�E CAR 0 DUPLICATE
1131 Elmsford
Tract No. 3 1,2 40 Lot No. 4
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 2 'G 6 7 , 19 Permit No. 5_ 2 46
Application is hereby made for a permit to U i L. D
a I story, TypeB 'Idi Use Zone
at !1 E L M S Fo i2 C O w`"� Occupancy
3/ 1.
to be occupied only as Parking Space —
/J/ F ' Sprinkler
in accordance with Plans, Specifications and •plan
Estimated Value of Improvements, $ 0� U 0 0
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any me
n». so as to violate the workmen's compensation laws of California.
Owner K NUNrek i /tC_ soc. Address 1175 $ hlW Y H % S.T
By Address
QRECORD OF INSPECTION Q
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