15591 F 1059 TUSCANY ifflbACE
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT-` i I96
Date — /�P_ 119 7? Permit No. /5592 /2✓S
Application is hereby made for a permit to
a story,TypeBuilding Use Zone !e
at /Cxq T tAOAAa — Occupancy
to be occupied only as 4- Sq.feet
in accordance with Plans,Specifications and Plot-plan filed herewith. Parking Space
Estimated Value of Improvements, $ �71U.c'L--. Fire Sprinkler
f/2p0 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 me er.so as to violate the workmen's compensation laws of California. ��
Owner ddress /g.52h _
By Address /05 S ut
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
I
commencement.
I
280601 N
FINAL INSPECTION
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1.LOCATION 2. DAT 3.TIME RCD.
4,READY AM ( 1 • ANYTIME ( S .TYPE OF .A �7. INSPT.MADE
pM ( 1 SPECIFY I PECT _ TIME
DATE v
S.APPROVED '9.REMARK
DISAPPROVED
3
' INSPECTOR L
280 871
-WHITE-FILE YELLOW-INSPECTOR. ,PINK-OFFICE .
1.LOCATION 2. DATE RCD. 3.TIME RCD..
r
4.READY AM 1 I ANYTIME(3X) 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFYINSP ECT. TIME
r DAT
nE i
8.APPROVED ( 1 9.REMARKS:
DISAPPROVED 1 >//)
� N
INSPECTOR ��
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE