79624 (2) 1169 Crestline Dr.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date >a-1219 'S Permit No.
Application is hereby made for a er to
a i story, Type 4 Use Zone FTi
at C B". N /.�� � Occupancy �
to be occupied only as arking Space
in accordance with Plans, Specifications and Plot-plan filed herewi# .
Fire Sprinkler
ov Emer. Elect.
Estimated Value of Improvements, $—r�o
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,r� /1/GG/ky /f Address °G_
ByU L= /�'/,C�UQ/iG-'L�G v7 GJ Address 1d1n/ J- j a,y 9. —C v
7-15-- 0�' RECORD OF INSPECTION
Frame 0`
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Foundation �j
Stucco Finish '/ Z — v
1169 Crestline Dr. Melikian r
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