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Tract No. I o[No.
CITY OF SAN JOSE BUILDING DEPARTME
APP CAPO FOR BUILDING PERMIT ¢ .
Date / 19 Permit No.
Application is hereby made,for rpermil to
a —��1 story,Type&-&— �OF� Buildi�nlL� Use Zone
to a occupied
Lg ly L h_ D UI . /� Occupancy
to be occupied only as �_���l��/C/ Sq.feet
in accordance with Plans,Specification/a Plot•plan lled herewithh.. Parkin Space
Estimated Value of Improvements, $ D D O. / /!/W prim
Enver. lett.
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner oast violate the workmen's compensation laws of Califo ia.
Owner � � Address 76,.� �gA DE k/oa
By AddressWile
This permit shall expire and become null and void if the work authorized by it is not commeneA
120 days from the date issued or if the work is suspended or abandoned for a period of 120 days after
commencement.
FINAL INSPECTION 260-601 N
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1,LOCATION 2. DATE RCD. 3.TIME RCD.
• 4.READY AM 1 1 ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFY INSPECT. TIME
DATE .. d)(/
• 8.APPROVED 1/>/<1 9.REMARKS:
DISAPPROVED
O
. - INSPECTOR
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE