73438 (2) 1173 Crestline Dr'.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
�7 _APPLICATION FOR BUILDING PERMIT
Date , 19_2_Z Permit No. 73 y -3
Applica#ion is hereby ade for a permit-to "g-OD
a_story, Type Use Zone �!
at _ o Occupancy G
#o be occupied only as , �yX/ 7 Parking Space 7—
to
accordance with Plans, Specification _F�°rYD� Sprinkler
Emer. Elect.
Estimated Value of Improvements, $ 747 O O
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any manner so as to violate
��the� workman's compensation laws of California.
Owner a��7 'tea _ Address
By cAAAfts. Address 15/96 i Th rf deb r�
fI p CovyT, c.. RECORD OF INSPECTIONA
Foundation "�"7 Z -`� Fram
i
Stucco Finish o /( 22 b2Gt��
1173 Crestline Dr. J. Ulendorf -
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