7139 (2) 1199 Stafford DrivA
Tract No, Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date FSG , 19 77 Permit No. D / :19
Application is hereby made fora ermit to %�f P .fin" w h iPr
story,Type 3 Building Use Zone
at // 99 S I/a/IFZ j r Occupancy
to be occupied only as _ �v Sq,feet
in accordance with Plans,Specifications and Plot-plan filed herewith. Parking Space
Estimated Value of Improvements, $ Fire Sprinkler
rEmeEle-17
r
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
in any manner jso as to violate the/w-o�rkkm�en's compensation laws of California.
Owner /-1�✓'S ,/ P✓'c.,r / /��Jnn/Aw��/eir Address
By _�-%3 'mer r le `=,1"7nZ.Address R y3.2 SiL UPv�s3c�n
M e 4'4,_0
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 260-601 N
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• 1 L T ON 2. DATE 3.TIME RCD.
i
• 4.READY 5 1 ANYTI 5.TYPE OF 6.AREA 7. INSPT.MfgE r
PM 1 1 SPECIFY SPECT. TIME G T.J
DATE /Z.-r-77
• 8.APPROVED ( 1 9.REM AR KS
DISAPPROVED ( 1
•
• INSPECTOR
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
1.LOCAT IO 2. ATE 3.TI
o /Z - b1
4.READY AM (v 1 ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MA E 6a
PM ( , I SPECIFY�yGS. T. TIME
DATE
• 8.APPROVED ( =S:
DISAPPROVED 1 1
•
•
INSPECTOR L 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE