15464 ' °776'7`111ac way 1/
Tract No. lU6 Lot No.
CITY OF SAN JOSE BUILDING DEPARTM71
J—4P.C.Dat APPLICATION FOR BUILDING PERMIT, fjj,��
ID-
Date —�6 ,19 _ Permit No J T .6 .
Application is hereby made fo a permit to Aw.( /�/ �'�+' /C
a story,Type Building Use Zone
at Occupancy '
to be occupied only as Sq,feet
in accordance with Plans, eci ations and lop nn f with, Parking Space
Estimated Value of Improvements,S Fire Sprinkler
(�? leElect,
�I certify that in the performance of the Workfor whichthis permit i issued 11 not employ any person
Own4permit
Address
By Address
Tall 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. G nA tµ
FINAL INSPECTION L 9 ? / Pr UI� I V 1` Revae.0 13/78
0. tt2)
6 6 9$ 17�`7
Exemption from requirement for State of California for Contractor's.
t License is herefry claimed by applicant: -
as owner statement filed El
Applicant attests that his State of California Contractor's license No.
Is in full force and effect and properly authorizes this application.
San lose City Business License No.
aye- 977
-1.LOCATION 2. AT CD 3.TIME RCD. -
'3v
4.READY.' AM ( I ANYTIME ( 1 .TYPE OF - 6.AREA 7. INSPT.MADE
• PM ( '-1. SPECIFY - NSPECT.: l 9 TIME -
I 1 "� DAT ' Zml
6.APPROVED ( 1 9.R AR S.- '
DISAPPROVED ( 1 U
' hA,260
• - INSPECTOR
2 0 671
'WHITE-'FILE. - YELLOW-INSPECTOR PINK-OFFICE'
• 't.LOCATI N - 2. DATE RCD. 3.TIME RCD.
k READY AM ( - 1 ANYTIME I 1 ,5.TYPE OF. 6.AREA 7. INSPT.MADE
PM ( 1 ,SPECIFY' T. TIME
L
DATEX, i
• 8.APPROVED � REMAR KS:, 5 '
DISAPPROVED ( 1
•
- " INSPECTOR
280 6]1
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE .
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77
1. TION.- 2. DATIME RCD.
• 4•READY AM ( 1 ANYTIME ( - 1 5 P OF .AREA 7. INSPT.MADE
PM ( 1 SPECIFY I ECT: TIME
DATE
• 8.APPROVED ( 1 9.REMARKS '
DISAPPROVED ( 1
�•
•
- INSPECTOR JC�1
• O�7 ,280 671
-WHITE-FILE' ' YELLOW-'INSPECTOR PINK-OFFICE
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, • /o/� .
1..LOC ION 2. DATE RCD. 3..T..IME.RCD. '
DY AM ( , 1,' ANYTIME ( 5.TYPE OF .. 6.AREA 7. INSPT.MADE
PM ( ., 1 SPECIFY NSPE • TIME
n DAT i
MARKS: -
• DISAPPROV Lif )
-INSPECTOR .
• • T80 671
WHITE-FILE +YELLOW-INSP ECTOR PINK-.OFFICE
1. OCATION 2. DATE 3.TIME RCD.
q ADY AM ( 1 ANYTIME-(- )l 5.TYPE OF 6. REA 7. INSPT.MAD
" PM ( 1 SP IFY- I T. TIME rr77
DATE L11131�2 4.,
B.APPROVED ( 9.REM ARKS:
DISAPPROVED ( 1
INSPECTO
280-671
WHITE-FILE. YELLOW-INSPECTOR PINK-OFFICE