76245-F 868 S . Stelling Road
Tract No. Lot No. -�
CITY OF SAN JOSE BUILDING DEPARTMEDIT_
APPLICATION FOR BUILDING PERMIT S%
Date 3 , 19 �
Per No. :76 2��f
Appl' atio is hereby made for a permit #o
a y, Type i�4 o L Buildin Use Zone
a} storS i �� occupancy
to be occupied only as
�UT ✓fid � Parking Space �—
�–
in accordance with Plans, Specificationsand Plot-plan fir r
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 le , 13G / Address
By Address y _3 1 ^�
� )RECORD OF INSPECTION
Foundat'on AICA Frame
Stucco Finish
868 S . Stelling Road R. Blais am
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