56053 1580 Aster 2 � � K Plur
Tract No. - - Lot No. e/Oa
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION F R BUILDING PERMIT
Date 19 Permit No.3z �3
Application is her for i+
a�� nstory, Ty r i Use Zone
a+ cQ - e'ht� �� Occupancy
to be occupied only as 9 Space 2
in accordance with Plans, Specifications an pPIof-plan filed herewi re Sprinkler
Estimated Value of. Improvements, $1s
I certify that in the performance of the work for which this permit is issued I sh t not employ any person
in any ar s o vioI f ha workmen's compensation laws of California. /
Ow .11 ai✓ C v C�'�i1e C Address / S i J,�,�-
Address 'a-•c—P
RECORD OF INSPECTION
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