4384 1160 STELLINGIROAD
Tract No., Lot No.
CITY OF SAN JOSE BUILDING DEPAgM ENT
APPLICATION FOR BUILDING PERMIT
Date - 19 7'�y Permit No.
Application is hereby gva p p rmit to
a �_story,Type tee. ilding s�� Use Zone
! P J�.�i, iel Occupancy /--z
to be occupied only as / �i(n Sq.feet
in accordance with Plans,Specifications and Plot-plan Wed herewith. k' ace -'—
Estimated Value of Improvements, $ —
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'
Enter. Elect.
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any an er so as toy�olpta the wq men S mpensation laws of California.
{ ;l�vteu 1 1� < 1160 S. ST Et L1�JG Rte S•z
Owner Address �j
By S ID F. 51 E Address I S&7 /� R D 5_,T-
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
commencement.
FINAL INSPECTION //7� �� / 280601 N
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4.READY AM ( 1 ANYTIME ()( 1 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFY SPECT. TIME
DATE
&APPROVED (� 9.REMARKS:
DISAPPROVED ( 1AkynAlb
INSPECTOR
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
• 1. L ATIOf� 72A7 RCDd' `MERCD.
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'4.READY' AM ( 1 ANYTIME ( 1 1;5;TYSPPEEOF 6.AREA 7. INSPT.MADE
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DAT
• 8.APPROVED (�) EMARKS: _
DISAPPROVED ( 1
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• 1 b�
•
INSPECTOR
280-6]7
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
• 1.LOCATIO2 ATE RCD. 3.TIME RCD.
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• 4.READY, AM ( 1 ANYTIME ( 1 116JYPE OF 6.AREA 7. INSPT.MADE
PM 1 1 SPECIFY SPEC TIME
DATE
• 8.APPROVED 1 9. MARKS:
DISAPPROVED 1 1
•
• INSPECTOR
280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE