8618 7864 B6 rid ' Drive �,,
Tract No. Lot No. "
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLIC TION FOR BUILDING PERMIT
Date , 19 Vq Permit No..
Application is ere er to I �Q
a —I—sto di Use Zone
at L „ Occupancy
to be o cupied ly asVQPI /� �r Sq.feet .�7C,
in accordance with fans, pecifications and Plot. Ian filed her with. Parking Space
Estimated Value of ements, $ 07 Fire Sprinkler
Emer. Elect.
I certify that in the ormance of e o k for h, thlc,p4r ' is issued I shell not employ any person
in any mannan/so as to violate the workman's compensation laws o aliiforma.
Owner _ ///�(A I'/GF C0 /ro Q Add. 7 ?6'4 e e
1, 6Y ARS 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 260-601 N
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1. LOCATION �, 2.DATE RCD. 3.TIME.RCD.
4.READY AM ( 1 YTIM5.TYPE OF 6.AREA 7.. INSPT.MADE
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DATE
&APPROVED 1 9.REMARKSY'-w ,
DISAPPROVED' 1 1
INSPECTOR - k�
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WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE