17669 •7512 HEATHERWOOD-DRIVE
Tract No. �� t ' Lot No.
C TY F SAN JOSE BUILDING DEPARTMENT
S P.C.Date APPLICATION FOR BUILDING PERMI �FL�D
Dae _ ,19 7 Permit No.
Application is hereby made for a permit to
a _Lstory,Type ullding. Use Zone
at 7 UAW Ste- Occupancy
to be occupiedonly as Sq.feet
In accordance with Plans, 1 0 Parking Space
Estimated Value of Improvements, ZZ Fire Sprinkler
C �J /J/ Elect.
❑1 certify that in the performance of thew o6ch t tis u a of employ any parson
t
Owner Address R 260 E
By -1aAddress
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
commeneenumt. .p\�,
FINAL INSPECTION y��_�
280801„Iy
Rev. /78
Exemption from requirement for State of California for Contractor's,
License is hereby claimed by applicant:
asowner0 statement filed 0
Applicant attests M3Zlp7f
at his State of California Coraractos License No. J
Is in full force and effect and properly authorizes this lication.
San lose City Business License N9
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91
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INSPECTOR
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—1 DATE . i
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8.APPROVED
DSA PROVED ( 1 •9'REMARKS: �n I
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280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
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LOCATION 2. TE D. 3. IME RCD.
4,READY AM ( 1 ANYTIME 1 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 ' SPECIFY PECT. TIME
8.APPROVED ( 9.REMARKS: 7ltn,(JJF-
DISAPPROVED 1
INSPECTOR
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
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1. LOCATION^1IC) d� -��r(,()t7 �r 2.DAT F3LD. 3. ME RC ,•
4.READY . AM ( 1 ANYTIME 1 1k6lYPEOF 6.AREA 7. INSPT.MADE
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1/m DATE
S.APPROVED (,CIS 9.REMARKS:
DISAPPROVED 1 1
INSPECTOR 1C1 i-
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE