10337 7536 Hollanderry Pl ,
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
/, APPLICATION FOR BUILDING PERMIT
Date !T —/ , 19�F Permit No. 3 �'
Application is hereby made fo a permit to . .5 G•• f.2r—z/
a _�story, S Building !3e! R, . Use Zone -I
at — - i3alh Occupancy t
to be occupied only as �/ Sq, feet
P Y —/�
in accordance with Plans,Specific} Ions and Plot-p an fil�ed�e with. Parking Space
Estimated Value of Improvements, $ � l/L� Fire Sprinkler
[/////y�Q/�,/�/�///J F tnier. Elect.
1 certify that in the performance of the rk for which thifpermi" t�tnsStied,f$hall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
`.
Owner SG Address 7�d
ey + Address Fe2'�fr
is permitI.e. d bec a null and void if the work authorized by it is not commenced within1 days fromd or if the work is suspended or abandoned for a period of 120 days after
commencemenII q
FINAL INSPECTION '�Zb \�(f b— 1 280601 N
75`3 6r
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑
Applicant attests that his State of California Contractor's License No.
is in full force and effect and properly authorizes this application:
San Jose
City Business�License No.
G
CITY OF SAN JOSE INSPECTION NOTICE � 6
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