55174 1183 Elmsford Ct. 2�'0
Tract No.- Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT _ �o�"t.
Date /n —2 19 7 Permit No. SJ / 7
Application is hereby mad -for a permit #o _-� T
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7 Tory, Type Buildii CON</ER' 'ruse Zone Zz
at I - >ti9M-���,.6� ccupancy
to be occupied only as r/1 �O� AM ring Space
K y1NJ'—'/F. re,,f it S rinkler
in accordance with Plans, Spa�fiiaafions n PI t-pI -filed Ferewi#h,2 q,� G ,y -,q, (a
Estimated Value of Jmprov6mbfits, r ��iY6.?ID_E 1plem'512(vfl?
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.
Owner
_r lN. Address / Ur3�U�1.5
By / � Address QU1"7 311G�tn / li/1ti
` RECORD OF INSPECTION
Foundation -Frame 17 , 23
Stucco / ,Finish
1183 Elmsford Ct. .9 Bill Rawlings r�t
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