55015-F1192 Elmsford ' 'f
Tract No. -3 Lot No. 3
CITY OF SAN JOSE BUILDING DEPARTMENT
LAPPLICATION FOR BUILDING PERMIT �
Date 6 a G/ , 195� 7 Permit No. > 5-,P f
Application is hereby made for a permit +o f/ ✓ ! f
a story, Type ^^ /e,5 Building�/ Use Zone
12 Occupancy
24 5 Parking Space Z.
to be occupied only as /n /ierikelSprinkler
in accordance,wi+h Plans, Specifications and P o+o+ pla filed row #F .
Estimated Value of Improvements, $ -57-0")o
I certify that inthe performance of the work for which this permit is issued I shall not employ any person
in a manner as io violp! the workmen's compensation laws of California. 9Y
Owner Address //9Z C-�iws nr
By Address
RECORD OF INSPECTION
Stucco
1192 Elmsford Carl Fugua
r
_. .. W01 Zg/4 'ne8 I -08Z wioj
.# esueosl sseu!sng A{!p esof ups
'uogvayddvs!yy sezuoy{na-A!zadoid pup poile pup eazo} in, u! s!
.# esuva!l shop vz{uoo wuzo3!I°D Jo 0045 s!y yvyy sysepv {uvo!Iddy
� El P'I!f iuewaYvYs N —.0 se
:{upaydav Aq pew!vp Ayouey s! esuea!, s zoyovzyuoO zol v!mol!IvO fo elvij +ol µewannbeu wo11 u1ydwez3