19331131 KENTWOOD AVENUE
Tracf No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Date 3 —c121'19_7Z__ , Permit No.C�(%3
Application is hereby made for a permit to _
a � story, Type �� �*ny—,Use Zone
at
to be -occupied only as
in accordance with Plans,
Occupancy
Parking Space
Fire Sprinkler.
Emer. Elect.
Estimated Value of Improvements, a
I certify that in the performance of the work for which this permit is issued I shell not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner j LTJ /i�LiC50 n/ Address -2012'5 ; 4 , Al 6)e
By. �i�i L �CiG �'7�o/ice ��Z �� Address —EO SO li//i✓OflGs76�_
RECORD OF INSPECTION A
Foundation Frame N— 7— 2
Stucco Fi�h 7717-7
JIISQ 260-601N
1131 KENTWOOD AVENUE HELEN NELSON
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed X—
Applicant attests that his State of California Contractor's license #
is in full force and effect and properly author'xes this application.
San Jose City Business License #
280-601 N
i-
1. LOCATIONj.
2. DATER
3. TIME RCD.
AM( ITamANYTIME ( � )
PM ( 1, S.ECIFY .
5. TYPE OF '..
IN ECT.
6. AREA
J
7. INSPT. MAICDEEC/�J
TIMET-7.7/
DATE X 1
•
8. APPROVED -1
DISAPPROVED'1
1 _
'.9. REMARKS:
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INSPECTOR ''
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WHITE-FILE
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YELLOW-INSPECTOR
PINK-OFFICE
280 671