SAN JOSE1075 November
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date , -2L , 19(L6 Permit No.
Application is hereby made for a permit to
astory, Type Bu�il/din�g� 'K/� Use Zone
of /� 7S-72jc
/-���Occupancy
to be occupied only as / can Parking Space
in accordance with Plans, Specificationsjand Plot -plan f8ed•herewithgFire Sprinkler
/ •" V
Estimated Value of Improvements, $ r O
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner �i statement filed F7Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly authorizes this application.
San Jose City Business License #
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 s ty olate he w km ompensation laws of California.
Owner r '. Address
By Addres3(,/D Z 0 ve B h '
1075 November F. W.Bohnheff
99/S —No I —I -08Z mioj
NO11O3dSNI d0 G8O038
+ CITY OF SAN JOSE rINSPECTION -NOTICE
.1. LOCATION ' - 2. DATE RCD.: ' 3. TIME RCD. '•
A) 7ovPM• ber -D✓' . $-ab -81
'4. READY 'AMI 1 ANY 1 5. TYPE OF 6.AREA '7:,INSPT.MADE
PM1 1• •Sp
FY - INSPECT. TIM
iNoL o-77
8.APPROVED ( 9; REMARKS.:. 0A7 Q�V 7Q U�,r LION -NOrN�
DISAPPROVED
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ITE -FILE ..YELLOW. -INSPECTOR PINK -
280 -671