9913 1112..S0. STELLING RD.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTME T
5 APPLICATION FOR BUILDING PERMIT
Date 11977 Permit Np.
Applic tion is hereby lq4cle for a permit to 5 �"" " c ✓nom' rc u
a story,Type ,J BI'Idi Use Z ne
Ta `
at 5. .57�c.0 �V— Occupancy
to be occupied only as C G- "m l 2 Sq,feet
in accordance with Plans,Specifications and PlovWanfilecl ere �Ithya Ing Space
Estimated Value of Improvements, $ /!/ Sprinkler
Enter. Elect.
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in any mannpr so as to violate the workmen's compensation laws of California. C r /
Owner - OG A Address ��.� -57-6 �T�C�'
By LO Address 76kTf -Xr, 1wweF ry �41
This permit shd, 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. ^1. -�
FINAL INSPECTION /r��/ /!7/-/n 260.601N
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• 1. LOCATION �D 2.DAT RCD. 3.Ti E RCD.
• 4.READY AM ( 1 ANYTI E 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFY SPECT. TIME
DATE
• &APPROVED 9.RE AR
DISAPPROVED ( 1
7117 �z
•
• INSPECTOR 10 -A
28091
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
1112 9t611ill ;7-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATrdk FOR BUILDING PERMIT
Dat.................. . ----------------------- 0...3--7_20-9-------------------
Application is hereby made fa permit ------------------------ --------------------
a------- -------story, Type-_;;Y---LI/A- -- - ----- -- ---- ------- ------------------------------ Building
at -------
to be occupied only as -------
in accordance with Plans, Specifications and Plot-In filed herewith.
Estimated Value of improvements, $-- -------*"--—-------------------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that 'i h f manes f the work for which this permitnorm
'p�j G,a per violato 8 Dh is tl!' aill"A I I
in or workman'scompensation laws of for
If
par-
sonn ddress
Bt��CX5ddress .---------------------------------
Cent
Form 280-1
RECORD OF INSPECTION
Foundation 7-7-e
------------------ -/.g----------27:---1.
Stucco
FinishL----