76134 1701& o ead Lane r Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
3-30-71 P.C.Date APPLICATION FOR BUILDING PERMITz:
Date / 2 197 Permit No. 16 (3
Application is hereby ads for a permit to r A/ �7i Bk/f Gr/ ds~X//I// C. f
a 1_story, 'Type B to f a=G Use Zone ��
In ` �y ✓Occupancy
at
to be occupied onl as — ty �jl/ Sq.feet
in accordance with Plans,Specifications Upl ere arking Space
Estimated Value of Improvements,$ S3, — Fire Sprinkler
Emer.Elect.
1 certify that in the
performance of the work for which this permit is Issued I shell not employ any person
Owrrer ' L,I�PC Addrasa Il o I El��j leas( �-�•
This permit shall expire nd become null end void if the work authorized by it is not commenced within
120 days from the date issued or if the work b suspended or abandoned for a period of 120 days after
commencement. yy
FINAL INSPECTION TT'� `1 Re0-608/ 78
a 8 Yp"h�r L, Dees - sol �,uyheQ�' Ln.t� Id
Exemption from requirement for State of California for Contractors.
License is hereby claimed by applicant:
as owner Ll statement filed p�
Applicant attests that his State of Califsmia Contractors License No. �
is in full force and effect and properly authorizes this application.
San Jose City Business License No.
Qz J, 2 5-3 30 3
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1.LOCATION 2.DATE RCD. 3.TIME RCD.
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DATE
8.APPROVED 1� 9.REMARKS:
DISAPPROVED ( I
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v 280-871
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE -
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S.APPROVED (� 9.REMARKS:
DISAPPROVED ( 1
INSPECTOR
° 280,671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
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1 LOCATION 2. DATE RCD. 3.TIME RCD.
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. 4.READY AMII 1 VTIME C 1 5.TYPE OF 6.AREA 7. INSPT.MADE
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S.APPROVED ( 9.REMARKS: — Ld1�S '
DISAPPROVED
INSPECTOR
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE