6618 (2) 1654 �enningtonrLatie
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date " D—/ ,�_ , 19 77 Permit No. CO
Application is hereby made for apermit to � EI�Ar IL !!Z¢ /�/�[ /4( 6
a _L story Type _ Building Use Zone
at -a L !_ IF Occupancy
to be occupied only as ,L4MV4;f !feet
in accordance with Plans,Specifications and Plot-plaon filed herewith. Parking Space
Estimated Value of Improvements, f Fire Sprinkler
Einer Elec~.�►
1 certify that is the performance of the work for which this permit is issued 1 shal�t�employ any person
in any manner so n to violate the workmen's compensation laws of California.
Owner /2/^ 17-0i1—/L�yA Address L��9.� /.4$O41 [i/J11
By �X/. L{/�Y,fr �(a. /&Of_ Address pZ2
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 q 260-601 N
I I
1 -ON esueo!j sseuisng QIP nor ueS
vollealldde s y)m IJoglne Apa
edd pue lo@;)e puu eaJo;Ian;ul sl
'ON esun"I s,JO32@JluO3 BIWOPWO;0 e1e1S siq 1e43 s1mvIe lueailddy
pail;IUBWB3e35 I � JBUMO s@
queagdde AgAq pewielo AgeJeq 91 esuea1'l s,JolaeJluop JO;eIW o;IjeD;o 9WIS Jol luewolm6w wort.u`oilddwwexx33
• 1.LOCATION 2:DATE RCD. 3,TIME RCD.
.3 r7E'A' /N ON 11e2i-77 lo:Ao
4.READY - AMI. 1 ANYTIME 1 1 5.TYPE OF. 6,ARREA 7. INSPT.MADE
PM 1 1 SPECIFY INSPECT. : V/ TIME
YY7 aX, L I DATE
8.APPROVED ( .1 9.REMARKS: Fre.">gnv
DISAPPROVED 1 )
• - INSPECTOR G Zi
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE