7804 80 Bette Avenwe
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date —J4A'! Al, 19 7P Permit No. D• �D S��G¢1"Ci
Application is he y a e fo p mi
a story yp ✓ di Use Zone
at Occupancy Z
to be occupied only as ��- ' Sq.feet
in accordance with PI s,Specifications and Plot-plan filed herewith. Parking Space
Estimated Value of I rqt ments, $ c ire Sprinkler --
Enver. Elect.
I certify that in a performance of the work for which this per n is issued I shall not employ any person
in any ma or so as to vio ate the workmen's compensation laws of California.
Owner Address $�5 �Ber1B Hy�.
By Address s wsi 95—
This permit shall expire and become null and void if the work authorized by it is not commenced within
120days from the date issued or if the work is suspended or abandoned for a period of 120 days after
commencement. ,.
FINAL INSPECTION �; ' tS�_,. 62 0-601 N
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