14994 (2) $61 Miller Averitie
Tract No. Lot No. -
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 19 7�1 f ermit No.
Application is hereby made for a(permit to �( Tn • d �IPIM
a / story,Type /X//V� Building Use Zone Z
at .Q� /�'llllEk tfit Occupancy
to be occupied only as Sq.feet
in accordance with Plans,Specifications and Plot• Ian filed herewith. Parking Space
Estim Value of Improve encs, $ Fire Sprinkler
q�`17�` 1y�'�/'�J ,r�J I., � r?ltc,�ElecI.
I ce i y ttret'i a performadce of the Work for ch thti pe mit iss issued I elYnot\employ any person
v ma/nofl 1 ' //_lhaaw/erkmertreernpencasiow-Iaw�s�of caluorrria.
Owner /H'1'�4l Vi �fwlU tT Address �i.SL! �1/ �K 19�E
By Y / Address gD l 7VLu2 O4 MA. 'p
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
commencement.
FINAL INSPECTION %/(. '9 �'"�"G 280-601 N
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1. LOCAT ON 2.DATE RCD. 3.TIME RCDP
4.READY AM ( '1 ANYTIME ( 1 S.TYPE OF 6.AREA 7. INSPT.MADE
PM (x 1, SPECIFY ,JD�SPECT. TIME
-t- DATE �•�
8.APPROVED ( 9.REMARKS:
DISAPPROVED ( 1 '
r A;A_w_'
INSPECTOR
280-671
WHITE-FILE YELLOW-_INSPECTOR -, PINK-OFFICE
1LOC N 2. DATE !3 3.TIME RCD.
ADY.
AM ( ),/,7,ANYTIME ( 1 5.TYPE F 6. A 7. INSPT.MADE
'PM' (., SPECIFY IN CT. TIME
DATE
B.APPROVED ( 9.REMARKS:
DISAPPROVEO�.Y)
. INSPECTOR
280-671
- WHITE-.FILE YELLOW-INSPECTOR PINK-OFFICE ..
2 DATE RCD 3 TIME RCD
4.READY AM ( 1 ANYTIME 1 1 6.TYPE OF,;. 6.AREA :7. INSPT.MADE
SPECIFY INSP CT. TIME
+. .- DATE i
.6.APPROVED 1 . 9.'REMARKS:
DISAPPROVED, 1 YI
K'.
INSPECTOR
.,� 280-671
•P 'ee,
WHITE—FILE YELLOW-INSPECTOR, PINK-OFFICE .
C•T2. ' E D. "l2zlmlE RCD.
i
4.READY ASM I'' I 'ANYTI 5..T,YPE"OF- -6.AREA 7. INSPT.MADE..• '
,rrlv�y 1 _ "SPECIE, I SPEC TIME
�1../ DATE
S.APPROVED ,1REMARKS
''DISAPPROVED
r
I�
INSPECTOR -
280 671
WHITE-FILE YELLOW-INSPECTOR:, PINK-OFFICE ,
1.LOC TION / 2.CAT ,R '3:
4.READY. AM ( ANYTIME ( 1 5.TYP OF 6. A 7.•INSPT.MADE,
PM ( 1 SPECIFY I PECT. TIME
DATE -
8.A4ROVED ( 1 9.REMARKS: -
DISAPPROVED. 1 � ,G 1
INSPECTOR Ck--
280 671
WHITE-FILE YELLOW-INSPECTOR ,PINK-OFFICE