81747 (2) 1195 Crestline Drive
Tract No. Lot No.
CITY.OF SAN JOSE BUILDING DEPARTMENT
'` APPLICATION FOR BUILDING PERMIT 4
Date r67— 2'44 19Z� Permit No. f 1 7� 7
Application is hereb/� m de for a permit to 6.1-CL �"
story, Type din —Use Zone _1ZI
a+ 1,q f�� -Y-Fj�-�- �'C�/ —/'Ip✓�,v Occupancy
l
to—be_�occupied only as Parking Space
Fire Sprinkler
in accordance with Plans, Specification and11ot-plan fiLp here
O fir. F}e
,Estimated Value of Improvements, e((j�-
I certify that in the performance of the work for which this permit is issued I sh not emplploo
y any parson
in eny,o�',a'�'jr so as to violate the workman's compensation laws of Ceglifa�e. �¢ /
Owner^1G� ,'t,I � �!�� ' Address /�' �,'(s/ �°`�P�/ `. —✓����r
gy.�CF-�ietG `'�4tr A� Address ,E-FB- -�SIe4K&..�!'�
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
i
1195 Crestline Drive Allen Everson
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