63429-F (2) 1375 Sar-Sunnyvale
Tract No. Lot No. -
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT n r ,r sbas
Date_��1'L , 19 t c/ Permit No. !0 3 4
Application is hereby mad r a permit to
a_f_story, Type Use Zone e-r_ra-
at I 7� S'/1fi47UC� + tiNYKX�L -O upancy_i=�
to be occupied only as L ,,!Wing Space 10
in accordance with Plans, Specifications and Plot-plan filed herewith.
Fire Sprinkler N D
Estimated Value of Improvements, $ ✓ �3 0Dy
I certify that in,the performance of the work for which this permit is issued I shall not employ any person
in any manner so to violate the workmen's compensation laws of California.
✓O MT_�1Z�L YN JS �?llAddress (��S- �IFr�a�o �Iirer��Vl�/
wnerg,IL% �
✓By (A NV 1A&K L RW Address
RECORD OF INSPECTION,
Foundation Frame ),—/2ir��{'r
Stucco
Finish' / 2 r 2, / de-c6
6
1375 Sar-Sunnvvala Creative' Sound Systems P+L'
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 effoct and properly authorizes this application.
San Jose City Business License #
X vo 0 O of J o Pj G N U ?LA -j-S A
Form 280-1