05688F 110 ` : ��Tract No. --b —
Lot Nd'liq'
CITY OF SA OSE BUILDING DEPARTMENT
PPLIC TION FOR BUILDING PERMIT
Date 19� Permit No. O��o 481
Application is hereby made fora permit to ��t
a story,T e !C� Buil Ing r Use Zon ' a
YP _
at Lfl Occupant
to be occupied only�sjr= �/I et
in accordance with Plans',Specifications 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 which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of Califar—!
Owner A ldr�
This permit shall expire and tiecomenull 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. p "'
FINAL INSPECTION �/� /70 �" 260-601N
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i DATE
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280-671
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DISAPPROVED 1 1
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INSPECTOR
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
• 1.LOCATION 2. DATE RCD. 3.TIME RCD.
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• 4,READY 'AM ( ) ANYTIME ( 1 5,TYPE OF6.AgggREA 7. INSPT.MADE
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• 8.APPROVED ( 1 9.REMARKS:
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280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
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4.
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ATE
• 8.APPROVED ( 1 .REMARKS:
DISAPPROVED ( 1
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INSPECTOR
280-fi71
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE