76095-F 1215 Stafford Drive
Tract No. 3Lot No. 65
CITY OF SAN JOSE BUILDING DEPARTMENT (�
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APPLICATION FOR BUILDING PERMIT �
Date 7 / �° y'
3 Permit No. / 6®9S
App ication is hereby made for a permit to
a story, Type Building Use Zone —
at "� Building —Use
to be occupied only as GL,L.0 Perking Space
in accordance with Plans, Specifications and Plot-pllaan filed herewith.
Fire Sprinkler
$�; � = �ver�lect.
Estimated Value of Improvements,
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner o es to viol to the workman's compensation laws of California. /
Owner Address
f By Address 990 zG �1tL� 6�
U A gRECORD OF INSPECTION
Foundation-
Stucco Finish
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