62230F 817 September Dr. �
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTME��
6. APPLICATI��y��ypOR BUILDING PERMIT
Date ' o I��e , 79 � 0 Per ' o �`
Application is hereby made for a permit to '
a ' story,T .e � Buil ' g,� Use Zone
at � Occupanty
i to be occupied only as _ � G`r Sq.feet —
in accordance with Plans,Specifications and PI n filed I Ere it P r ' ce -�
� Estimated Value of Improvements, 4 1L� i nkler
• 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 manner so as to violata the wurkmen's compansation laws of California.
Owner �' v Address / ^ � D
I gy Q . Addreu � � ��'� C(��L�T�/�Q
This parmit ahall ezpira and become null and void if the work euthorized by it is not commenced within
120 days from the date iaued or if the work is suspended or ebandoned for e period of 120 days aftar
commencement, �
FINAL INSPECTION � � 280�601 N
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• 4.READV AM 1 ANVTIME ( 1 5.TVPE OF � 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFV NSPECT. TIME
DAT
, • 8.APPROVED 9.REMARK . ,
DISAPPROVED ( 1
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• INSPECTOR I�iC
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� WHITE-FILE VELLOW-INSPECTOR PINK-OFFICE