17441 (2) 11(19 kik ive
Tract No. Lot No. AZ
CITY OF SAN JOSE BUILDING DEPARTMENT
C. to APPLICATION FOR BUILDING PERMIT
ate ��Z/ ,19 Permit o.
Application is hereby ma or ermit to
a �story, pe Building
— rYr T Y
at - COO`�'Occupancy
to be occupied only as Sq.feet
in accordance with Plans, peciflcations and Plotdal filed herewith. Parking Space _
Estimated Value of Improvements,$ �� Fire Sprinkler
.jnY/!��I/,,v Emer.Elect.
99,1 certify that in the performance
'of the work for which this permit is Issued I shall not employ any person
owl , K� nl �fAddress
By V Address
This permit shall expire and become null and void if the work authorised 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 Rev. td/78
663,E McK.rii�/fT - �/ay _sTB`lo,�y ��P, .
Exemption from requirementfor State of California for Contractor's. i
License is here I Imed by applicant: '
asowner tatementfiledD
Applicant attains that his State of California Contractor's License No.
Is in full force and effect and properly authorizes this application.
San lose City Business License No.
C-45 P
1
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7- 1 zo (, 3
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4.'READY AM 1` 4
IME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PW;
INSPECT.
TIME
DAT
8.APPROVEDI 9.REMARKS:
DISAPPROVE 1 1
INSPECTOR C►J1 . __
v 280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
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• 1.LOCATION)1 O9 J I Ck� r� 42.DATER 3.TIME RCD._
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DAT i
• OVED 1 1 9.REMARKS:
DISAPPROVED 1 1
i • car ,
•
INSPECTOR -h/�L(/
280 671
WHITE-FILE YELLOWINSPECTORPINK-OFFICE
1.LOCATION 1 F, . 3.T�jv1 F,.SCD.
�J4-READY AM:SQ ANYTIME ( I 5 TYPE OF 6:AREA 7. INSPT.MADE
Ij A n PM 1 1 SPECIFY 1 PECT. TIME
ill.t-Y/✓ DATE
S.APPROVED 9.REMARKS:jQ I,S
jr-
DISAPPROVE 1 1
INSPECTOR ' r, Lie d
F 280-671
WHITE-FILE YELLOW INSPECTOR PINK-OFFICE