87255 (2) 1175 Crestline Dr.
_UBC 1973
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
C_ APPLICATION FO"UILDING PERMIT ^7
Date 5 _ 19 7 l Permit No. /
A/pplication is herek+ m de a e i /
a / Of
story, T e Use Zone
at ✓�' !L JL Occupancy
to be occupied only as h 7 X ID Parking Space
in accordance with Plans, Specifica ' ot- it Sprinkler
mer. Elect.
Estimated Value of Improvemen , ; l .
1 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 Address
By A-: Address
RECORD OF INSPECTION
Foundation Frame
Stucco Finish —
1175 Crestline Dr . Erickson
1-086 -JOS
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