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17539 (2)
� T158 ELMSFORD DR7�/ Z Troct No. •S Lot No. CITY OF SAN JOSE BUILDING DEPARTMENT � J�-���9 P.C,,Dat�e� APPLICATION FOR BUILDING PERMIT Date �_ , 19 Permit No. � l7�39 �. Application is hereby made fo a permit to < r . `� re�.<�u� � n.�` a �_story,Type� Building Use Zone '� � at Occupancy � to be occupied only as Sq.feet in accordance with Plans,Specif ations and P oa lan filed he�ewith. Parking Space ' Estimated Value of Improvemenu,� - � , � Fire Sprinkler � Emer.Elect. �ertify that in the performenes of ths work for whieh this permit is iswd I�hall not amploy arry penon Owiror��l7�n.✓�17�L1�(Zl.�ir— Addreo �1�'F�N��mA .1�n� Igy Cs! _ Addren � Thif permit shell erpire aml bacome null end void if the work authorized by it b not eommeneed within ' 120 days hom the dete iaued or if Me work B wsPended or ebandonad for a pmiod of 120 deye after eommencemeni FINAL INSPECTION �� L � . � � � ' ' ` Re�v$.�tS/78 6673 G-�i 1 S El���_ l��fS Fl1+95 FrA Dr� � Fxemptionfromrequlremmtfor5tahofCalitomiafaContmctofs. � �� r Llcenseish byclalmedbyapplicant: � �o�'��+� statementfiled❑ � AppllcentetteshthMhisStateofCalifomiaCorrtrectohlicenuNo. b In full force and effect end properly auNorizes thif appliwtion. � SenloxCityBusiireysLlcenseNo. �A�E G����,�.► 2s�-��2R , �- � , � j � � � .�.� � 3�-'//�'s��� � � � . 1, LOCATION ' 2.DATE R 3.TIME RCD. � 4.READY AM ( 1 ANVTI ( ,1 5.TYPE F 6.A A -7. INSPT.MADE � pM�l 1 SPECI I ECT. TIME DATE � '- G i � B.APPFOVED �IrCL� �9.REMARKS: . � DISAPPROVED ( 1 i � ' .. � ' . . . ' � . . II � yI� INSPECTOR ��'7 l'����~� I • 280 671 WHITE-FILE � YELLOW-INSPECTOR � - PINK-OFFICE Zi Zi � 3 � , v , . � . � i � / �U N�, �/m lS ��� � y . 2. D FjC� - 3. � E fiCD. ' � II e ' 4.READY AM ( �1', ANYTIME (' � 1 '5.TYPE�OF 6.AREA 7. INSPT.MADE , PM,1 1 SPECIFV ' PECT. TIME � DATE / '� 8.APPROVED � ( ` 1 � 9.REMAflKS:... . ' ' � � � ' . . I � � .DISAPPROVED `I,�� .'� � II �� � . • � _5'T �C� � � .. --� ��. . .. . . , . � _ � �. .. I � � " ' .. - .. . .' �� � - INSPECTOR G� 2so 6 -. . ' WHITE-FILE', VELLOW-INSPECTOR PWK-OFFICE.' I • � 2i LI.. � � I . ' -"�j�lO�l �/1'` . f(� 2. DA E i D. 3.)y{IM�iCD.� � \ �� i � 4.READY� ANTI � 1 ANVTIMEI 1 5.TVPEOF 6.AREA 7. INSPT.MADE pM (. � 1 SPECIFY � INS E T: � ' �TIME D �/ � S.APPROVED ( 9.REMARK . . • . . . DISAPPROVE ( 1 � . . ' . ' . . . . . I � ' . . . . . . . . 'I' � ' � � .. _ .. : � " �INSPECTOR Ci�1 i 280 671 WHITE-FIIE VELLOW-INSPECTOR . � PINK-OFFICE � c SS El m-s fo�-� (,�1 . ' • 1. LOCATION �� �"i� \ 'L 1 / � � Z.DATE C,D� 3��� (_ b ' I • 4,qEADV AM ( 1 ANVTIME ( 1 5.T E OP 6.AREA 7. INSPT.MADE ' pM ( 1 SPECIFV NS E � DATE . � �I � 8.APPROVED ( 9.FEMARKS: � . � DISAPP.ROVED ( � - • . . ,. � . � ' � I . . . • � � ' ' � � INSPECTOR G • - . 280-671 WHITE-FILE' YELLOW-INSPECTOR. PINK-OFFICE � � : Z � -L � � 3 . � � 1.LOCATION �L./V�S ��� .. - , 2.%ATECiR 7. 3.TIMES�. s� / D 0� � 4,�READY AM ( 1 ANVTIME ( 1 5.TVPE OF � 6.AREA 7..INSPT.MADE� PM ( ,1, SPECIFV INS�CT� � TIME . (,(,(J DATE i /. S,APPROVED , 9.REMARKS: „ � � . � � � �� DISAPPROVED ( � - - . ' � `0 1LILl, T��'� . � ' � � � � . I A �� . � INSPECTOR ��iN'�J�"L 4 - � , 280r671 WHITE-FILE : YELLOW-INSPECTOR PINK-OFFICE