82868 (2) 1169 Crestline Drive
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT p /
Date 7-30 , ig 7N Permit No. O (�
Application is hereb made Q it
a I_story, Type I. i Use. Zone
to occupied
i d my E I Occupancy
to be occupied only as
G,SXI HE (�L� arking Space
in accordance with Plans, Specific tions and Plot filed herewith. Fire Sprinkler
Emer. Elect.
Estimated Value of Improvements, $ ZOUO
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 law California.
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Owner .� ,�—bo��r/0oy• Address 9:
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Address V—Jr CA40X y 04'riE
�jRECORD OF INSPECTION
Foundation �'y� lL �(= Framed=.5
Stucco { ` Finish
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