7013 1103 Milky Way
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APP (CATION FOR BUILDING PERMIT
DateOd 4 -, 19 '7 Permit No.
Application is hereby made for a permit to crit
a —L story,TypeS Use Zone -
at %1�'�e�— Building Occupancy =
to be occupied only as ®vO�E Sq,feet
in accordance with Plans,Specifi tions and Plot-plan filed herewith. Parking Space —
Estimated Value of Improvements, $ -500fa A W ' e+V —
Eme . —
1 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,
. Ow NJVr/y h- leaen Address 1163
By
icve. Q6�e
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
Chnuaq n.
commencement. /f- -_-/
FINAL INSPECTION L/7/7 7 /'�Ct/�f-�// Q, 260-601 N
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1 LOCATI �2.DATE RCD. 3.TIME RCD.
11o3 7�.
4. READY AMI' .) 'ANYTIM ( . .) 5.TYPE OF 6.AREA' 7n INSPT.MADEQS
PM IXI SPECT F,Y INSPECT. TIME ,3
} • DATE
• &APPROVED 1. 9.REMARKS: a
DISAPPROVED 1 1 �Hf6
INSPECTOR - h QV2 1�
`J 280-671
�• WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
•• •''1,LOCATION2.DATE RCD. 3.TIME RCD.
4,READY AM 1 - 1 ANYTIME 1 5.TYPE OF AREA '7. INSPT.MADDE
L• PM'.1 - 1 ."SPECIFY SPECT.' 1,,6.
TIME
DATE
•• 8,'APPROVED E .1 1 • �"'�� •e
DISAPPROVED
If 14 J. fir or-Ir
' - INSPECTOR
• _ 280 671
WHITE.-FILE YELLOW-INSPECTOR PINK-OFFICE