17234 k4 Lib 2 � ce1rtX
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTZtI, Ef�T
P.C.Date APPLICATION FOR BUILDING PER IT 3 r
Date /,2 , 19'2' Permit No.
Application is hereby made for a permit to v4u. 17h4AL�L'�fley '
a a story,Type Ild. Use Zone
T
at 9 L 11 z r Occupancy
to be occupied only Sq.feet .3 rz
in accordance with Plans,Specifications an PI tpIan e h i Parking Space
Estimated Value of Improvements,$ eSprinkler
Enter.Elect.
1 certify that in the performance of the work for which this permit Is Issued 1 shall not employ any parson
4" C14 s
Owner /)"wAddress
By Address
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 /7 �y �� Reve.018"/78
�4� so cl se ly �117Py�r c�
liemistion frorn requirement for State of California for Contractor's.
License is hereby claimed by applicant:
asow6er0 statement filed
Applicant attests that his State of California Contractor's License No.
Is in full force and effect and properly authorizes this application.
San)me City Business License No.
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• 7 �q N -/• - 2. DATE RCD. 3.TIME RCD.
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( 1 AN IME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE
• •1 1 SPECIFY INSPE TIME
DATE
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INSPECTOR
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280.-57
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
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PM O SPECIFY .INSPECT. C' TIME
DATE'
• 8.APPROVED 9.REMARKS: ,
DISAPPROV 1 1
INSPECTOR -
• _ 1,280 67r�
WHITE-FILE- YELLOW-INSPECTOR PINK-OFFICE
LOCATION2.DATE RCD '3. IME RCD.' "
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4.READY AMI, 1•, 'ANYTI ( I 5.TY,PEOF AREA ,, 7. INSPT.MADE
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DATE i
S:APPROVED .9.REMARKS:,;*,
DISAPPROVED
i INSPECTOR '
. _ _ •,� 280-671.
WHIT E=FILE � . YELLOW-INSPECT OR „_ � '-'PINK-OFFICE'
1.LOCATION l 2:DATE RCD. 3.TIME RCD.
• 4:READY -AM ( l AN IME ( ') .TVPE OF+. 6.A A 7: INSPT.MADE
PM SPECIFY"( 1 INSPE T. TIME
DATV/6
• 8.APPROVED ( 1.' 9.REMARKS:
DISAPPROV ( 1
• - - INSPECTOR
280 671 •
WHITE-FILE . .YELLOW=INSPECTOR PINK-OFFICE
1. LOCATION 2:DATE RCD 3.TIME RCD.
!, • 14. EADY AM ( 1 ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFY INSPEC TIME= A
DAT Ly
8.APPROVED 9.REMARKS: .�
• DISAPPROVED 1 1
i
INSPECTOR .Q-w I SLC
280 671
WHITE-FILE ' .YELLOW-INSPECTOR PINK-OFFICE .