13424 879 BLTTE AVENUE
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT.
APPLICATION FOR BUILDING PERMIT I 41
Date ��^ I^ , 19 Permit No. .12
Application is hereby I ad fora rmit to
a story,Typ it ' Use Zone
atm' Occupancy
to be occupied onl a — Sq.feet 1�g—
in accordance with Plans,S ecifications and Plot-plan filed herewith. Parking Space
Estimated Value of Improve ents, $ —OD Fire Sprinkler
m ect.
I certify that in the perfor c of a work or h h t tis rmi is i I 11 of employ any person
s
Owner G Address �� A,?ACrT e 4e�=
By Address
This permvshall expire kd 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. !�� �\
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