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Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT A11-62Vom
Date lZ/ZI , 19 7 Permit No.
Application is here li a for a permit to gtl/W7 Vc-
a J story,Ty B ' di 1 o h Use Zone.��G,,�I�,,,,�� �{{,�
at 0ccupancyAz_z C
to be occupied only as SA Sq.feet 5,&g
in accordance with Plans,Specifications and Plot-plan filed herewith. Parking Space
Estimated Value of Improvements, $ I 2A 006 Fire Sprinkler Aro
- fsF,ect. NO
AeOinv7— G� -e � Z¢ `7�
I certify that int a per ormance o the work or h this m 's s a nolvmploy any person
in any manner so as to violate the workmen's compensa ion la o C Ii ornia. //
Owner 15c,(3 l bN7'pm//I Address ,%/ "� 1 S ,(€3�QSPOrN AU- ( tl (a:C�
By �� (� As Address
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. ] -p��// /�'/
FINAL INSPECTION ����/` / / a ���1 280-601 N .
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1.L CATION' 2.DATE RCD. 3.TIME RCD.
4.READY AM (, 1 ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( I SPECIFY - IN ECT. TIME
DATE
• 8.APPROVED .�/\/'� 9.REMARKS: -
( DISAPPROVED 1 1z 94
f=g,
• - - INSPECTOR
280-671
W-INSPECTOR:r.' PINK.-OFFICE
WHITE FILE �YELLO ,
• 7 III 2. DAT RQDr--� 3.TJLQE RCD.
• 4. READY AM ( 1 ANYTIME . I5.TYPE OF 6.AREA 7. INSPT.MADE ,
PM ( 1 .'SPECIFY ECT. TIME
9. DATE - iL
• 8:APPROVED , ( 7 9.REMARKS: '
DISAPPROVE I. 1
• t
a
INSPECTOR
280-671
WHITE-
FILE YELLOW-INSPECTOR PINK-OFFICE
• : 1. LOCATION B DATE RC 3.TIME RCD.
• EADY AM 1 ' I 1 ANYTIME 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( _ 1 SPECIFY .INSPECT TIME
• DATE ;
8.APPROVED (>4_ 9.REMARKS:
ill •
DISAPPROVED ( .1
I •
• INSPECTOR - G�
280 _671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
LO 1 2. DATE RCD. 3.'TIME RCD.
i
4.READY AM ( I. ANYTIME 1 0 ) 5.TYPE OF T6.AREA 7. MPT.MADE
PM ( 1 'SPECIFY - - rINSPEC . TIME
f DATE
&APPROVED 9.REMARKS:, nA l
DISAPPROVED 1 1 '
- INSPECTOR leiWe-
' ' 280-671
WHITE=FILE 'YELLOW-INSPECTOR PINK-OFFICE
• 1 C T g 2.DAT 3.TIME RCD..
4. REARM ( 1 ANYTIM `) 5.TYPE OF I XAhEA 7i INSPT.MADE
PM ( - 1 SPECIFY I SPECT. TIME
• 1 DATE ,
8,APPROVED ") 9-REMARKS:
DISAPPROVED
S INSPECTOR L -
1 280 671671
LOW PINK-OFFICE
�,. WHITEFILE � . YELLO _ ,
3 Q'a"
>> 2.•DATE RCD.' 3.TIME RCQ:
c . ' 's 2- -79,
"•4.READY 'AM ( �/U .ANYTIME ('-"- 1 6.TYPE OF W 6.AREA 7. INSPT.MADE
.PM 1' ` d 7SPECIFY INSPECT. TIME n
`DATE _
B.APPROVED .l�l 9.REMARKS: i -
DISAPPROVED
'4
' ♦ r ♦ - 4
-77
- INSPECTORS
♦ 280-671 •
'WHITE-FILE • YELLOW,INSPECTOR -".PINK-OFFICE
y 1.LOCATION ATE RQq.- 3.,T RC.q,
4,READY ,AM I xI ANYTIME4,1,0 .TYPE OF 6.AREA 7. INSPT.MADE!!)
PM ( .�SPECIFV iNSPECT, TIME
- DATE' .
8.APPROVED (,Xi.
- 9.REMARKS: �?k
DISAPPROVED ( 1
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INSPECTOR C.
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280-671
WHITE-FILE YELLOW INSPECTOR 'PINK-OFFICE -