10886 1220 YCRKSHIRE DRIVE
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date _ 19 Pert No// 77
Application is hereby made for a ermit to A I o l /6 X a 2� fg�—
a �_story,Type nF Building Use Zone 4L--1-0
at �.7 a O y6 r r �iffne Occupancy
to be occupied only as .ori SPS Sq. feet 3S
in accordance with Plans,Specifications and Ploh'plan fileddhherewith. Parking,Space
Estimated Value of Improvements, $ �I�%�,00"/� Fire Sp�kler
7
Enter. Elect.
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
Owner
M I�� Address aej oN ..$//Ir r
By Address 177� /Ls asi/Y
This permit shall expire and become null and void if the work authorized by it is not commenced within I
,120 days from the date issued or if the work is suspended or abandoned for a period of 120 days after .
commencement.
FINAL INSPECTION _Z 280,601 N
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• B.APPROVED ( 1 9.'REMARKS:
DISAPPROVED ( 1
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INSPECTOR. •
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'WHITE 5ILiE YELLOW-INSPECTOR. PINK-OFFICE
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. • -B.APPROVED ( 9.REMARK
DISAPPROVED 1 1
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INSPECTOR J ✓} Z-�
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
• 1,LOCATION- 2 DATE'RCD. 3.TIME RCD.
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4,READY AM )• ANYTIME I 1 5.TYPE OF 6:AREA 7: INSPT.MADE PM I SPECIFY INSPECT. TIME� DATE ,9
• 8.APPROVED ( 1 9.REMARKS:
DISAPPROVED ( 1
v
INSPECTOR
• , 260-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
Z
1.LOCATION a 2.DAT RC 3.TIME RC
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4,READY ( 1 ANYTIME ( 1 5.TYPE OF .AREA 7. INSPT.MADE S
P ( 1 SPECIFY I SPEQ. TIME i
DATE
&APPROVED ( 1 9.REMARKS,
DISAPPROVED I xl
INSPECTOR '
280-67.1
WHITE-FILE YELLOW-INSPECTOR PINK OFFICE '