2901 (2) 7838 MC CLELLAN ROAD
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date S' , 19_7 7 �P rmit No. 0 Z2 6 /
Application is here made for a permit to J SL
a—/—story, Type ^' din Use Zone _�-1—
at797F_ c _ Occupancy 2—
to
to be occupied only as .,.� /y5 3 Parking Space
in accordance with Plans, Specificatio s �ot-pf f�/ Sprinkler
C�/ �J Emer. Elect.
Estimated Value of Improvement , 2 SsP1-
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any mann :o as to yiolate the workmen's compensation laws soof' Califo;rose.
Owner l✓l^ �A Address 00 ! /)�z�LC�iGtsau-Pt�n-�it,
By a¢c Address �� --
R CORD OF INSPECTION
r n\
Foundation77
Frame 7k 7 1 w�
Stucco !/l � 1 Finish /f-- 71 Rnmw-"
2�6036601N
Z838MC CLELLAN ROAD
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 #
No apprve,cd 14417;0j; :1 , 99
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280-601 N
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280-671
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280-677
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