17378 (2) 7770 Ordgrande Piace
Tract No. f 7// Lot No. 2
CITY OF SAN JOSE BUILDING DEPARTMENT
P Date APPLICATION FOR BUILDING PERMIT
Date 19791 Permit No.
Application is hereby made for a permit to A?A D.
a story,Type Building Poo A Use Zone Yl
at 777 • O R , 19 A/—be P2. Occupancy u
to be occupied only as 1-11, )00&L Sq,feet
In accordance with Plans,Specifications and Plot-plan filed herewith. Parking Space
Estimated Value of Improvements,S 2 0o Fire Sprinkler
Emer.Elect.
❑I certify that in the performance of the work for which this permit is Issued I shall not employ any person
Owner W, BR41,pocK Address 777# oRe A.R,##DE Pt,
By r Address
This per7Rit�shall a cp res an ne null and void if the work authorized by it is not commenced within
120 days from the data issued or if the work is suspended or abandoned for a period of 120 days after
commencement -
FINAL INSPECTION P;a/_-79 w'p"'^^"'"" - 280-0T78
Rev.
I �
Exemption from
M requirement for Stare of California for Contractors.
�fff license is hereby claimed by applicant:
asowner❑ statement filed
Applicantatteststhat his State ofCalifornia Contractor's License No. r90 /7�
Is in full force and effect and properly authorizes this application.
San low City business License No. NgGG� 7�
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