62019 1171 Stelling Rd
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT,
APPLICATION FOR BUILDING PERMIT
Date 19 Permit No. /�
Application is hereby ma for a permit to '
a—/—story, Type Use Zone
at OOccupancy
to be occupied only as 'ng Space 2
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire i Sprinkler
Estimated Value of Improvements,
I certify that in the performance of the pA for which this permit is issued I shell not employ any person
in any men�na/r)s_o as t violets then kn}e's compensation laws of California.
Owner r� v. ddress _—
By Address
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RECORDOFOF INSPECTION )s-o- !v
Founda#ion / . L-0 Fra -
Stucco Finish
1171 Stellingr Rel / Simonds
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