59213 1211 Stafford Dr.
Tract No. Lot No. ---� �
CITY OF SAN JOSE BUILDING DEPARTMENT
� .� APPLICATION FOR BUILDING PERMIT _
Date_r/�`— I I , Permit No. S . �•�
Application is hereb made fora pert to Jrl1�y
a story, Type �' Buildi��V Use Zone
IP--
at /_ / �G �' IZ I✓L" . Occupancy._
_A27 / ParkingS-pace
#o be occupied only as_ ' A r—.
/(/Fire�Sprinkler
in accordance with Plans, Specifications and Plo -plan'filed' erewi#h.
Estimated Value of Improvements, $�' _ .
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in any me er so s to violate the workmen's compensation laws of C forni '
Own Address
gy_ Address _
Q Co (Dal AE&0RD OF INSPECTION
Foundation d 2' �� �`^'/�*�� Frame
Stucco Finish �/j�jV-3-:1/0.9—
1211 Stafford Dr. Q J.M. Hilgeson
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