17552 j7 ( kkobindefl Way
Tract IVo. Lot No.
CITY OF, SAN JOSE BUILDING DEPPAAWTMENT
P.C.Date AP LICATION FOR BUILDING PERMIT
Date ✓ 119 Permit No. SZ ` yC�ii
Application is hereby made for a perm e w 0211 l q 1lff ewack &m S 9 U-
a T�story,T pe a Building Use Zone
at (%)V Occupancy
to be occupied only as Sq.feet
in accordance with Plans,Specifications a Plot-plan filed herewith.Parking Space
Estimated Value of Improvements,$ r t'I I�Yer —
�-�/�� t��r. ect.
LJ l ce it rthat In the performance of the work for which this permit is Issued I shall not employ any person
owa.r�
By Address
This permit shall expire and become null and void if the work authorized by It is not commenced within
X120 days from the date Issued or N the work is suspended or abandoned for a period of 120 days attar -
commencement
FINAL INSPECTION ���1� �' �" .: Reve.0 13/78
70..3/ e0-Q aq aK4: 7190 �Oboj cf e(( cvy
Exemption from requirement for State of California for Contractors.
License is hereby claimed by applicant:
as owner(&yR,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 lose City Business License No.
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- 260-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
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280-1671
WHITE-FILE YELLOW-INSPECTOR ; PINK-OFFICE
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280 671
WHITE FILE YELLOW-INSPECTOR PINK-OFFICE
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280 671
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