58522 7554 Hollanderry 9
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT /J
Date ��' � 19 Permit No.
Application is hereby made for a permit to Adl./ fy 'EI I?/-
a -J J story, Type l' rh Use Zone
of _ >t( Occupancy 7
Parking Space 2
to be occupied only as �— ��+-
�k Fire Sprinkler
in accordance with Plans, Specificat' lot /v
it
Estimated Value of Improvements, $_ Y, I
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 work en's compensation laws of California. e
O Address
Address�_�/—¢p1�C<��� _V3C"
RECORD OF
INSPECTION P. z •;ZdL ✓
Foundation?'— � ��"- Frame
Stucco�o �— ��'� dw �L Finish �?9V U ,J
7554 Hollanderry G F. Panelli C
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 z ep? C)
is in full force and effect and properly horixes/+his apfIice 'on.
San Jose City Business License # I / / �J
N n dt-+-f to
o — - G 8
Form 280.1 2/68 IOM
III OCA3Q ! 2. DAT RCD. 3.TIME CD,U
5-52 1 / n
® 4.READY AM ( 1 ANYTIME ( ) 5. VPE OF 6.AREA 7. INSPT.MADE
PM ( I SP IFV PECT. TIME
DATE
8.APPROVED ( 1 9.REMARKS: r-00 h, 7
DISAPPROVED
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IIIN,SPFCT —
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WHITE-FILE YELLOW-INSPECTOR ��IWK FPICF -^y/jL�.a.I�r&,vv