6377 7556 .11MASTLE DRIVE
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PE
Date ��"��- , 19 'Permit No. t
Application is hereby made p r 't
a story,Type Use Zon
at 7 / Y• ///�--- Occupancy
in c occupied only as ��1T Sq.feet
in accordance with Plans,Specifications a I pl a ere It arking Space
Estimated Value of Improvements, $ 16,'— Fire Sprinkler
Emer. Elect.
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any me or o as to�Viiolate t e workmen's compensation laws of California.
Owner %'v Address GSSG' Ae=w,-aPI- s-T
By �t=5
AddressRDy30,1i4 0
byitisnotciamThis permit aha expire nul and void if the work authorized by n is not commenced within
20 days from the date issued or if the work is suspended or abandoned for a period of 120 days after
commencement, ��l /
FINAL INSPECTION 101,21,12,71666LL C-ILS 260601 N
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fIll. DATE � _2
•
B.APPROVED 9.
.'REMARKS; - -
DISAPPROVED 1- 1
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- - INSPECTOR
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE '
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DATE' -2/-77
• 8.APPROVED ( 9. EMARKS: -
DISAPPROVED ( I
I NSPECTO 40'
WHITE-FILE YELLOW-INSPECTOR .PINK-OFFICE -
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4.READY AM 1 I,�; ANYTIME ( 1 5.TYPE OF',- 6.AREA 7. INSPT.`M�ADDFF
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B.APPROVED, ( 1 9.REMARKS'
DISAPPROVED ( 1
® - INSPECTOR
260 671
WHITE-FILE' YELLOW-'INSPECTOR PINK-OFFICE