9922 (2) 1193 CRESTLINE DRIVE
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date .5-12-- ', 19_ZR Permit No.
Ap lication is hereby made fora ermit to _ 4 Q L7 77-0
a story,Type S Building Use Zone
at f2 f - Occupancy
to be occupied only as. X o� Sq,feet
Ly
in accordance with Plans, pecif ations and Plot-plan filed tterewith. Parking Space
Estimated Value of Improve ts, Fire Sprinkler
PV
Elect.1 certify that in the perform ce a work f ch Dermit izot employany person
in any manner so as to violate the workmen's compensation laws of Calif
Owner ^ 'Z_U Address
j By 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. ?Q ,
FINAL INSPECTION 260-601 N.
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.CITY OF SAN JOSE.IN$P,ECTION NOTICE'
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:.'l'.LOCATION ' "2.DATE RCD. 3.TIME R .
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4.READ AM ( ) - ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE
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DATE
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WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE 280-671
CITY OF.SAN JOSE INSPECTION NOTICE'
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1. LOCATION —" 2.DATE RCD. I TIME RCD.
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WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE 280-671
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WHITE-FILE YELLOW-INSPECTOR PINK OFFICE
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280 671
WHITE-FILE YELLOW-INSPECTOR ,PINK-OFFICE
1,LO AN 2;DATE RCD. 3..TIME RCD.
4.REA V AM 1 1`; , ANYTIME ( ' I 5.TYPE OF �1'6.AREA 7. INSPT.MADE'r
PM ( SPECIFY IN ':TIME
(. '' 'DATE,
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® 280 6]1
WHITE•-FILE YELLOW-INSPECTOR PINK-OFFICE „
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CITY OF SAN JOSE INSPECTION NOTICE
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1. LOCATION 3 n 2. DATE RCD. q 3.TIMES RCD.
4.READ AM ( 1' ANYTIME 1 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM O SPECIFY . INSPECT. G TIME
DATE
&APPROVED ( .^{.a 9.REMARKS:
DISAPPROVED
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WHITE FILE YELLOW-INSPECTOR PINK:OFFICE-,. _ 260-671