90892 1099 STELLING RD.
Tract No.— Lot No. UBC 7973
CITY OF SAN JOSE BUILDING DEPARTMENT
� �/(/����� /APPLICATION FOR BUILDING PERMIT
Dafe a'4'Wim'/1� �, 19_�� /�� Permit o.��� Q
Application is hereby made for a permit to ('yLi ,W,
a—/—story,/T��ype/J. —_ _ se Zone
e,� /.' _ '/
Occupancy
be occupied only"as_/�/r�'-f• �v"' king Space
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler
p Emer. Elect.
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 so as to violate the workmen's compensation laws of California.
Owner_i;�ACI< $ .R IAC\< E'kQAddress �CiN_r�—A
Address Gds sG t
RECORD OF INSPECTION
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,Foundation_,;. ___. Frame
Stucco-----._ '�----
-1099 STELLING RD..--i•- • + JACK B. •RUCKER 260__601N
N T09-02E
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