Loading...
71767 (2) 7592 Hollanderry Y1. Nsr2 ° J-/ Tract No. Lot No. CITY OF SAN JOSE BUILDING DEPARTMENTp APPLICATION FOR BUILDING PERMITy �4 Date �' 1922 Per it No. // Application is hereby made for a permit to Q��� lc, e story, Type u gl/C/ Use Zone;T at _ 2 0Occupancy / to be occupied only as IC %—A rvL (2h/.f Pft i,u�, Parking Space Fire Sprinkler in accordance with Plans, Specifi n t '�°eri Emer. Elect. Estimated Value of Improvements, $ UG G I certify that in the performance of the work for which this permit is issued I shell not employ any parson in any me er so as to violate the workman's compensation laws of California. Ownery� ��` Address By Address RECORD OF INSPECTION Foundation/ Stucco Finish s/ri�7� �1JLClinq'I,P/1 / 7592 Hollanderry P1. g Re D. Hiadon Jltc 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 # is in full force and effect and properly authorizes this application. San Jose City Business License # Form ?Rn.t Inn inns 1.LOCATION 2. DATE RCD. 3.TIME RCD. `"�s�1 D GGE,✓ 4.READY AM ( 1 ANYTIME( 1 1 5.TYPE OF 6.AREA 1 7. INSPT.MADE PM ( 1 SPECIFY SPECT. 9 TIME DATE B.APPROVED VK4 9.REMARK/ DISAPPROVED ( Acv / i� IVOR r 280-671 Fl WHITE- FILE YELLOW-INSPECT R PINK-OFFICE