15401 7802 ,,,} 'Wa 3
Tract No. PoY �No: -5
CITY OF SAN JOSE IBUILDING DEPARTMENT
�— 6— P.C.Date APPLICATION FOR BUILDING PERMIT
Date ,19 Perf�rt No. !�
Application is hereby made for a permit to i �eHd 7S-X/-;7 3
a �L_._story,Tyy{p�e 11d7,'ny�r Use Zone
at —2973 2A'o iiA i Occupancy�/4��--
to be occupied only as _/ a Sq.feet —TO—F
in accordance with Plans,Specificatio��lot- II d he tfj P rking Space
Estimated Value of Improvements,$/1 � 72/ r Sprinkler
Emer.Elect.
0 1 certify that in the performance of the work for which this permit is issueddII shall notemploy any person
K'ZOwner r+ Address 7�0` �'<l-_4 `la/J- 4 ..
By Address
This permit shall 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
ment
FFIINNA�NSPECTION //�/ /�9 /�' Rev8.018/7a ,
�b87
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 No.
Is in full force and effect and properly authaizeiothis applic on.
San lose City Business License No. -- r — 3 b
�aF�aaa Coma re 253-5 '/
DAT RCD 3.TI . RC5.--
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4:READY AM ( 1 ANYTIME'( 1 5.TYPE OF 6.AREA 7. INSPT.MADE .
I ECT. TIME
'DAT
8.APPROVED ( 1 9..REMARKS-
DISAPPROVED
REMARKS-DISAPPROVED 1 1
-
MPEWrOR
• 960 671
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.! 1.LOCATION - - [2..
DATE RCD. 3.TIME RCD.
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4.READY AM ( 1 ANVTIM 1 5.TVP F 6, EA 7. INSPT.MADE
;•, PM ) SPECIFY INSPECT. TIME
i DATQI
.1 S.APPROVED 1 1 9.REMARKS:.
DISAPPROVED (�
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8.APPROVED ( 9.REMARKS:
DISAPPROVED 1 1 / !I I f
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- 280-'671
WHITE-FILE • YELLOW-INSPECTOR PI OFFICE
r."1.LO, I ,�pp•-�� 2. DATE RCD. 3.T E'RCD.
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4.READY -AM (1U ANYTIME ( •) ,5.TYP OF , 'A
6. REA, 7. INSPT-.MADE
PM _I� 1 SPECIFY SP ECT. TIME
.,DATE
B.APPROVED- �1 9.REMARKS: - -
DISAPPROVED l 1
,nr 'INSPECTOR C
- 280:671
WHITE-FILE.' �' - YELLOW-INSPECTOR PINK'-OFFICE
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• ,i, OCATION - 2. TE.RCD. ' 3.TIME RCD.
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• 4•READY AM I 1 ANYTIME ( .1 5.TYPE 6.AREA 7. INSPT.MADE
' PM I I SPECIFY SPECT.' TIME
DAT
® P.APPROVED1
DISAPPR OVEb 1 1
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' INSPECTOR
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE