8396 (2) IM M- S70RD DRIVE
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date — 'Er - 119 7$ Permit No. el
A
Application is hereby made for a permit to a / 4 X I Fqn K
T-
a story,Type S ing Use Zone
at // 7,-,7, o it� Occupancy
to be occupied only as �iFA" z 45 Sq.feet /O
in accordance with Plans,Spec ificatjn andPlo -plan fie ere-with. Parking Space
Estimated Value of Improvements, iy2 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 California.
Owner �C V.� ri( Address �77Z2,
�'ZMSForZ�a'
By . , irNrc7 Address. t45 H"Arl PJO^ J7r
I
This permit shall expire and become null and void if the work authorized by it is not commenced within
issued 120 days from the date id or if the work is suspended or abandoned for a period of 120 days after
commencement.
FINAL INSPECTION J '��� 260-601 N
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• B.APPROVED � 9.REMARKS:DISAPPROVE )
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• t INSPECTOR
280-671
WHITE-FILE - YELLOW-INSPECTOR PINK-OFFICE
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• 8.APPROVED ( 9.REMARKS.
DISAPPROVED 1� 1
•
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280-671
WHITE-FILE YELLOW-INSPECTOR 'PINK-OFFICE
Ail 1.LOC TION � 2. DATER
4.READY •AM ( 1 ANYTIM . , 1 5.TYPE OF . 6.AREA 7. INSPT.MADE/ap
PM ,I 1 SPECIFY SPECT TIME
DATE
8:APPROVED ( 9.REMARKS-'^
DISAPPROVED
INSPECTOR
280-
'671
WHITE FILE YELLOW-INSPECTOR PINK-OFFICE,
.I 1. LOCATION 2.DATE C 3.TIME RCD
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• Y AM ( 1 ANY ME 1 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFY "INSPECT- TIME
• &APPROVED ( . 1 9.REMARKS: ,
DISAPPROVED ( 1
INSPECTOR
280-671
• WHITE-FILE . YELLOW-INSPECTOR PINK-OFFICE ,