NO PERMIT NUMBER 1322 FLOWER COURT
Tract No. -q-n / Lot No. j O
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 6 / 7> 119-2 GO Permit No.
Application is hereby made for a permit to
a story,T 9e B Use Zone
at 1.91 29 F 6� r 1 Pr Occupancy
to be occupied only as -�B-s��—+ —^9 �y c�S feet
in accordance with Plans,Specification an ot- lari fitKd'h��jt 5a7fcing Space �2
Estimated Value of Improvements, $ t/ ' —' Fire Sprinkler
Enter. Elect.
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 'flit) (C112 16 Address (e2 s .rL E10 t tfQn
BY Address AI L^ LE n c D
This per tit shall expire and become null and void if the work authorized by it is not commenced within
120 days from the date issued or if the work is suspended or abandoned for a period of 120 days after
commencement.
FINAL INSPECTION 280-601 N
Exemption from requirement for State of California for Contractors License is hereby claimed by applicant:
as owner ❑ statement filed ❑
Applicant attests that his State of California Contractor's License No. 2g r9
�i' 'z: —('-.i�z
is in full force and effect and properly authorizes this app�lilcation.
San Jose City Business License No.
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y.i �,i (eL P(f) v1-=
1, LOCATION 2. DATE RCD. 3.TIME RCD.
Cf 7—
4.READY AM ( 1 ANYTIME ( I 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 S ECIFV INSPECT TIME
�pCT DATE i
• 8.APPROVED 1`�1 9.REMARKS:
DISAPPROVED ( 1
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• INSPECTOR _ 0-,C
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE