5660 (2) 5848 Robindeil way
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
a APPLICATI N FOR BUILDING PERMIT
Date I —�r; 119 Permit No. �[olorn
application is hereby made fora permit to
a 'L' story,Type ildi Use Zone
at� Ro6 /1.a /V(/ Occupancy
to be occupied only as PaY.o e Sq, feet
in accordance with Plans,Specificatior,>�and P t iled rewi , ark' pace
Estimated Value of Improvements, $
Enter. Elect.
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
in any manner so as to violate the workmen's compensation lawns�of California.
Owner /rlaf` t::j i I dC k Address
By l ncC —L,A �4;t. Address
This permit shall expire and become null and void if the work authorized by it is not commenced within
120 days from the data issued or if the work is suspended or abandoned for a period of 120 days after
commencement. '
FINAL INSPECTION 7, Wt94 Z 260-601 N
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1.LOCATIONATE RCD. 3.ANiE RCD.
• • 4.READY SAM 1 1 ANYTIME 1' 1 5.TYPE OF, 6.AREA 7. INSPT.MADE
PM.I 'n) SPECIFY NSPECT. /� TIME
&(K _ Vl DATEq-/.;-Zz-
8.APPROVED 9.REMARKS: pet+' o CD✓tv'-. _
DISAPPROVED 1-
INSPECTOR
� 280-671
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