9809 843 Kim Street
Tract No. Z33f Lot No. 7
CITY OF SAN JOSE BUILDING DEPARTMENT
y APPLICATION FOR BUILDING PERMIT q
Date Vr% F , 19 ?J? Permit No. ' '�1�'' I R07
Application is hereby made for a permit to RA-D
la story,Type B jl in Use Zone
at L y3 • K/M Occupancy_Lr—
to be occupied only as Sq.feet
in accordance with Plans,Specifications an Plotrplan filed erewith. Par "�S' pp�ce
Estimated Value of Improvements, $ �D I p ; ler
Enter. Elect.
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
i Owner A F I %C N Address 8y3 ' K/M QST,
By ({tDOLS_ Address 99� �,W/a/ F.CrFR
This permit sial expire an oma 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.
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4,READY AMI 1 ANYTIME I 1 5:TYPE OF.. 6:AREA 7. INSPT.MADE
' PM ( -) SPECIFY IN E 7. .TIME
DATE �
8.APPROVED 9.REMARK�7 - -
• „DISAPPROVED 1 1
INSPECTOR
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FOV 280-671
WHITE'-FILE YELLOW-INSPECTOR PINK,-OFFICEy ,
• .LOCATION 2. DAT RCDP /3.TIME RCD. .
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7 / • DATE
. 8.APPROVED 9.REMAR KS/•
DISAPPROVED (. 1
INSPECTOR '`L,
• _ _
280-671
WHITE-FILE YELLOW-INSPECTOR - PINK-OFFICE.
1, LOX2. DATE Sk RCD :3.�T'XD
- �- .
4.READY AM ( ; 'I -'ANYTIME ( 1 5.TYPE OF 6.AREA 7.,INSPT.MADE '
PM ( 1 . SPECIFY SPECT. . C •TIME
DATE
8.APPROVED
9.REMARKS:
DISAPPROVED' ( 1' -
r
j • ,
• INSPECTOR G -
280 fi]1
WHITE,-FILE - YELLOW-INSPECTOR PINK-OFFICE,