17587 (2) 754 aterford Drive ,
tract N0. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
P. ate
APPLICATION FOR BUILDING PERMIT
Date 7f ,19 22 Permit No.
Application is hereby made for a permit to Q Z /0'Y�Z-'S` ��'�✓Z' �/
a _�stor Type pe Building Use Zone `
rY
at a`' �zfz,— �f' Occupancy
to be occupied only as Sq.feet
In accordance with Plans,Specifica ' 121 ' Pipt an Iced herewi arking Space
Estimated Value of Improvements,$ b //rf/�FFiirr'e�Sprinkler
9-1 certify that in the performance of the work for which is permit issuee/d I shall n io;Y any person
Owner I Address 7SW !i✓a2r/n� bri✓e .tri, Jest
By Address So ' -
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 �� '� � $eV0.6' 78
Nis, Sim 7f4� GUS-ae� �2:
Exemption from
requirement for State of California forContractors.
1� Ucense ishbyclaip5ed by applicant:
asownerG' statement filed
V Applicantatteststhat his State of California Contractors License No.
Is in full force and effect and properly authorizes this application.
San lose City Business License,No.
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