74230 1178 Stafford Dr.
Tract No. 3 22 i Lot No.�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITy 3
Date "'�� +s'c 19 arm J:
Application is he mad A for a oermi+ +o .JCA"
a I s+or , Ty Building Use Zone
at kiOng Space s
to be occupied onl ,�• .
in accordance with Plans, Specifications an Plotpla�iled�i+hF,ire�Sprinkler ^_
Emer. Elect.
Estimated Value of Improvements, $ ) I 1 C 0 0
Icertify that in the performance of the work for which this permit is issued I shell not employ any parson
in any manner es to violate the workmen's compensation laws of California. /�ee
Address // 7
By c/ Address 7b.
RE RD OF INSPECTION
Foundation Fra /�"�-'��"v'
Stucco Finish ' /2 • � ' 7C- ^"'�
1178 Stafford Dr. W. R. Mannion _
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