12775 883 S. TANTAU AVE.
Tract No. Lot No.
CITY OF SAN JOSE ' BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITeE�pn-
Date —��. , 19'I Permit No. I E7 7
S
Application is hereby made for a permit toT
a _�story,Type ✓/" &=2! Building Use Zone
at Fr 83 S. T9_�'Ts K A � Occupancy
to be occupied only as /—A Sq.feet
in accordance with Plans,Specif at P n led/her . Parking Space
Estimated Value of Improveme Fire Sprinkler
Emer�Ellect.
I certify that in the performance of the work for perm- ,noa-aa oy any person
Ownerj5 re 101 Address � � S 1,..� "I . A-
gy Address •, b[ ,'7
This permit shall expire andbecome 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,abaanndddoned for a period of 120 days after
commencement. �C�ZJ�
FINAL INSPECTION �/�� � _/./(�/zf 260-601 N
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1.LOCATION/ 2. DATE j. 3.TIME RCD.
III 4.READY AM ( 1 ANYTIME (- 1 •5.TY E 6.AREA• 7. INSPT.MADE
'PM I 1 SPEC I F,V I SPECT. TIME
DATE
S.APPROVED ( 9.REMARKS:
DISAPPROVED, ( 1
Al 0 E 7'E= A2-
INSPECTOR.
.. 280-671
WHITE-FILE. YELLOW-INSPECTOR PINK-OFFICE
1.LOCATION - - - - 2. DATE RCD. 3.TIME RCD. '
�! d
-,12-- 9
4:READY AM 1 1 ANYTIME 1 1 5.TYPE OF, 6.AREA 7. INSPT.MADE
PM 1 I SPECIFY INSPECT. , TIME
• 8.APPROVED ( 9.REMARKS:
DISAPPROVE 1
• INSPECTOR
290 671
WHITE-FILE YELLOW-INSPECTOR- PINK;0FFICE
I
.LOCATION MS r/ ' 2.DATE RCD. 3.TIME RCD. -
dllel 7f Yd Xr
• 4.READY AM.1 1 ANYTIME 1 1 5.�TYPE OF 6.-AREA 7. INSPT.MADE
PM 1: 1 SPECIFYSPECT. TIME i
DATE /.
• 8.APPROVED1�1^ 9.REMARKS:
DISAPPROVED ( 1
• INSPECTOR' -
280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE