8617 7864 $eliCna Drive'
Tract No. 3Mzf Lot No. 7
CITY OF SAN JOSE BUILDING DEPARTMENT
/ APPLICATION FOR BUILDING PERMIT
Date �/ '��/ %v , 19 7Y, Permit No. 71 F(0
Application i ere f a It t Nf� L S off/
a st I Use Zone ���
at e' Q Occupancy_
to be occupied only as ,v,`q� Sq.feet
in accordance wit4C'Plans,Specifications andI"I of-plan filed herewith. Parking Space
Estimated Value oXlents, $ B Fire Sprinkler
Enver.Elect.
1 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.
Owner
— tO _ o C O Address _ D a L. U
By by Address
1Lsheh �o1vb j L°o
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. - r7
FINAL INSPECTION it
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