2134 (2) 1318 Flower Court
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT -vim• d
Date — 3 19_7Z—_ Permit No._CV2./_.3 IVL
Application is hereby made for a permit to
-
a y, Type — O 'Idi Use Zone
at/31 = Occupancy
to be occupied only as��>�� d'e�- _ / Parking Space
Fire
,yep1(�fi/ t0+� Fire Sprinkler
in accordance with Plans p cif cations a P n le eye th. Enter. Elect.
Estimated Value of Improvements,
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws
oof`�Calliifovia.
Owner_ Lf iit Address//ME_2'12(,/&: '[f r/z
gy_ ,sem AddreZj� / 3
RECORD OF INSPECTION
Foundation Frame a
Stucco Finish �21�7�Ley'
(� 0-60-6011
1318 Flower Court
Esamption;froom !q uirement for State of California for Contractor's License is hereby claimed by applicant:
as owner -yy[ �(� statement filed ❑
Applicant attests that his State of California Contractor's License #
is in full force and effect and properly authorizes this application.
San Jose City Business License #
280-601 N
• A�a FIV wer
1. LOCATION 2. DATE RCD. 3.TIME RCD.
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• 4.READY AM ( 1 ANYTIME ( I 5.TYPE OF 6.AREA 7. INSPT.MADE �s
PM ( I SPECIFY INSPECT. TIME
DATE
• $.APPROVED ( 1 9.REMA�i KS:
DISAPPROVED ( I 'e.
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• INSPECTOR h�Ve
280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE �/