7010 (2) 140 Saratoga-Sunnyvale Rd.
Tract No. Lot No.
CITY OF SA JOSE BUILDING DEPARTMENT
// APPLICATION FOR BUILDING PERMIT
Date 19 Permit No.
Application is hereby, made fo a permit to (r/ �i / [fig
a story Type / Building Use Zone
at Occupancy
to be occupied only as �y�r •feet
in accordance with Plans Specifications and PI filodfii<7((tN' ng Space o
Estimated Value of Improvements, Fire Sprinkler rco
Emer.Elect.
1 certify that in the performance of the work for which this permit is issued 1 shall not employ any person
in any manner so
as to folate the won n's compensation laws of California.
Owner u/' Address
By AddressZPZF
This permit shall expire and become I a id work authorized by it is not commenced within
120 days from the date issued or if the work is uspended or abandoned for a period of 120 days after
commencement.
FINAL INSPECTION S17179
�BL�fM /�"+'i� 260-601 N
Exemption fnum requirement for State of California for Contractor's License is hereby claimed b as lic
Y M
as owner ❑ I statement filed ❑
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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