60967 F 1180 Elmsford Dr
Tract No. A Z Lot No._�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO!� BUILDING PERMIT ea"tv
Date— 1��f , 19 6 Permit
App cation is hereby m de fora er 't
a story, Type w Use Zone
at 111F49 �L,�! /FO O Occupancy
to be occupied only as U'GP ' "�j/`' Parking Space
in accordance with Plans, Specifications and Plot-plan filed herewith.
Fire Sprinkler
Estimated Value of Improvements, $_�Jl� Gd
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
__�rPI/C�T Address &'fa �FdK0
Owner
By � � i g Address !;;.2— –'' ---
RECORD OF INSPECTION
Foundation 4 15 , 41 Frame
Stucco Finish ff�J�
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