9634 f
7561 IVi=wcRRtle Drive *...,;
Tract No. 2���' Lot No.
''/CITY OF SAN JOSE BUILDING DEPARTME
_ PPLICATION FOR BUILDING PERMIT W-1Date , 19 7-F' Permit No.
Application is reby made for a permit to ,(3G//L !�
a 7y �s�ry,Type p0 0 11 ng Use Zone
• at C Pc � Occupancy
to be occupied only as _�/T t O L-� `' Sq.feet
in accordance with Plans,Specifications and Plot-p her i P r
Estimated Value of Improvements, $ r
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 lows of California.
Owner Address _ 'J /
By Address. veli
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 s6spended or abandoned for a period of 120 days after
commencement. s y L
FINAL INSPECTION 0 /�b/�� �•f'fC'�`/�,1 260-601 N
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1.LOCATION 2..DATEry.RCD.! 3.TIME RCD. '
• 4.READY AM ( 1 ANYTIME ( YJ 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFY -.INSPECT. TIME
OAT
® ,:8.APPROVED 9.REMARKS: '
. 'DISAPPROVED ( 1 '
- Aj L V6
® INSPECTOR
280-671
WHITE-FILE YELLOW,-INSPECTOR PINK-OFFICE
1.LOCATION 2. TE RCD. i 3.TIME RCD.
(D,A .
0 - OY
® 4•READY AM'1 1 ANYTIME ( 1 5.TYPE OF' 6.AREA 7. INSPT.MADE
PM ( 1. SPECIFY INS CT. TIME ;rr
DATE
8.APPROVED f 9.REMARKS:
DISAPPROVED
•
INSPECTOR 280-671,
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
• 1.LOCATION2.DATE � 3. ME RC
,!r
U
• 4.READY AM ( ' . 1 ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE
1 I TIM
PM SPECIFY INSPECT E.
DATE i
8.APPROVED ( 9.REMARK '- -
• DISAPPROVED
INSPECTOR IE }
• 280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE