14506 998 S60E6mber Drive
Tract No. Lot No.
CITY OF AN JOSE IBUILDING DEPARTMENT
/� ��� APPLICATION FOR BUILDING PERMIT
Date.%2-- 22-- , 19 ,7e Permit
Application is hereby e f r a.perm it to n, ) A, 6QX
a �_story,Type Building se Zone — —�
at Occupancy
to be occupied only as h Sq.feet 449;2_
in accordance with Plans,Specificati ns and Plot-ply filed herewith. Parking Space
Estimated Value of Improvements, $ 3 Fire Sprinkler
mer. Elect.
I certify that in the performance of the work for which this permit is shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner 4 ^ 41 Address
By Address ;2/24j S'. ✓
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
commencement.
FINAL INSPECTION 280601 N�
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TIME
DATE'_
8,APPROVED (>4L 9.REMARK .
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INSPECTOR. C�Ll ,
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE