13992 7851 BELXNAPDR
Tract No. Lot No. V `
CITY OF SAN JOSE BUILDING DEPARTMENT
//-,?- Sl ; APPLICATION FOR BUILDING PERMIT
Date - ��- / , 19 - 7r_ Permit No. '/3 2;7,
Application is hereby made for a permit to Odd R�idy To
a story,Type � ,"c`_S Building Use Zone -21
at 2,9,5"/ 19E4kAD✓` Occupancy
to be occupied only as'. K4, Sg-
feet
in accordance with Plans,Specifications and Plot-pla filed herewith. Parking Space
Estimated Value of Improvements, $ 7G`� 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.
OwnerMMl• 6, _, mAo'A Address 785/ G',64kWAP AVK
By lv i a-//71• 7/-j=d(41 I.VC Address 93S r Al
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 280-601 N
✓r�92 S7lC'�. 705/ 19,F4,' APS&
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1. LOCATION - 2.DATE RCD. 3.TIME RCD.
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4.READY AM ( ANYTIME 1 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM 1 - 1 SPECIFY SPECT. TIME
DATE `•
8.APPROVED �1 9.REMARKS:
DISAPPROVED ('y< I '
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•INSPECTOR LJLnk
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280-671
WHITE-FILE . YELLOW-INSPECTOR PINK-OFFICE