9985 7583 peeoh B16Ssom Drive w,NI ("i.-.-�T , ,
Tract No. Lot No. 1 - - ''•• '-°
CITY OF SAN JOSE BUILDING DEPART T
APPLICATION FOR BUILDING PERMIT
,
Date �,�/L , 19 n
7� Permit No. �q�&
Application is hereby made for a permit to f 0h 4 5CePE'/'N /l:'DA/✓I
a --/_story,Type L.V Building Use Zone
at %L _ zu'ns.0A, Occupancy
to be occupied only as / '.64 .c+ Ivy' s Sq, feet
in accordance with Plans,Specification's/and Plot•plan filed herewith. Parking Space
`=
Estimated Value of Improvements, $ Fire Sprinkler
����/ - Emer. Elect.
I certify that in the performance of the work for wh ch this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner C �� Address
By tom. Address
is 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. L
280-601 N
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FINAL INSPECTION
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1.• O 2.DATE CD. 3.TIME RCD.
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• 4•READY. AM ( 1 ANY ` -5.TYPE OF .AREA 7. INSPT.MADE -
PM ( 1 SPECIFY ECT. TIME
DATE•
• 8.APPROVED 9.REMARKS- -
DISAPPROVED 1 t 1
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INSPECTOR z,
280-671
WHITE=FILE YELLOW-INSPECTOR . PINK-OFFICE