10577 (2) w 7922 MCCLELLAN RD. APT. N2
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDINGPERMIT
Date /-/"� -�� , 19 Permi[ No.
pill
Application is hereby maIdle-for a permit to FF,4/Z 'eRt/-1'fL��
a -- story,Type V uil ' g Use Zone
:t—73711 /%� ✓� Occupancy
to be occupied only as Sq. feet
in accordance with Plans,Specifications and W tt}-I1yl—r'a•file er ith P rki g Space
Estimated Value of Improvements,'$ ��l/�✓ � nkler
Emer. Elect.
1 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 of California.
Owner '• Pd�GG 9�OG. Address/Por— 47-/TALO 4S e5*7-j S.
By1 r ca Address 30'3 2 � 1�/✓ r
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 a /�S/�O JF '4 / � 280-001 N
Exemption from requirement for State of California for Contractor's License is hereby claimed by applican
W owner ❑ statement filed / 9
Applicant attests that his State of California Contractor's License No.
is in full force and effect and properly authorizes this application.
San Jose City Business License No.
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