4603 7577' 13011inger Road
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT$
APPLICATION FOR BUILDING PERMIT dL�
Date �� �CJ - 119 7 Permit No. n 9 6 0 3
Application is hereby made for a permit to k,A HE ST Yom 1— /f k ref4,5rl Sr
a story,Type u Id' Use Zone
at S77 'Old/N / — Occupancy
to be occupied only as A;X S Sq,feet
in accordance with Plans,Specifications and Plot-plan filed herewith. Parking Space
Estimated Value of Imkvements, $ O0 Fire Sprinkler
y , A1� tEnver. t emp1 certif that in theae of thew rl i [h it is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner/KA N0 IT It>d l Address
13y 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 77 260-601 N
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1. LOCATION '2. DATE RCD. 3.TIME RCD.
0 _77
' 3
• 4.READY .AM 1 1 ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( .' ) SPEC IF INSPECT.. TIME 1/7'
_ DATE _
• 8.APPROVED I ' 8.REMARKS,cfo_, e CLX-c%, '
DISAPPROVED O
62
• , INSPECTOR
280-671;
WHITE-FILE ,YELLOW-INSPECTOR• PINK-OFFICE