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5609 (2) 916 September bAve
Tract No. Lot No.
CITY OF,SAN JOSE BUILDING DEPARTVP
APPLICATION FOR BUILDING PERMIT /"�"
Date — 19 7 Permit No. O r
Application is hereby made for a permit to /Y D S 74 i?r y�/SJf
a story,Type BuildingZ� Use Zone
at 56P'/i1-fBE � 9Q ey'fL Occupancy
to be occupied only as Sq.feet
in accordance with Plans,Specifications d Plot-plan fled herewith. Parking Space
Estimated Value of Improvements, $ 10 /y Fire Sprinkler
t�eect.
I certify that in the performance of the work for which this permit is issued I shol not employ any person
in any manner so as to violate the workmen's compensation laws of California. ,
Owner Address `� _
By Address 00
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. ^1 0t {,//�,,�/� � ..
FINAL INSPECTION 3// O /`�✓t^"^—S�s l�-Q l � 260-601 N
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DATE
• B.APPROVED ( 9.REMAR KS - -
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-• INSPECTOR- - 280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
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280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
• 1. LOC ZION 2.DATE RC - 3.TIME RCD.
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280-671
WHITE FILE YELLOW INSPECTOR PINK-OFFICE
• 1.LOCATION6 2. D E RCD. 3.TIME RCD.
• 4.READY AM ( ANYTIME ( 1 1 5.TYPE OF 1'6:AREA 7. INSPT.MAQLo
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• 8.APPROVED ( 9.REMARKS:
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WHITE•FILE YELLOW-INSPECTOR PINK-OFFICE
• t, LOCATION 2.DATE RCD. 3.TIME RCD.
• 4.READY A ( 1 ANYTIME 1 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFY --igISPEC TIME 2. &_0i DATE
• &APPROVED ( 1 9.REMARKS:
DISAPPROVED 1 1
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• . INSPECTOR
280-fi]1
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
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1.LOCATION 1 2.DATE RCD. 3.TIME RCD.
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280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFIC