83251-F 7516 Donegal Drive
Tract NoPZ:5 2 Lot No. 14
CITY OF SAN JOSE BUILDING DEPARTMENT
)APPLICATION FOR BUILDING PERMIT
Date C 19 Permit No. �� Z J f✓
Application is hereby madfora permit tc:-
a — story, T e_� a u Use Zone
a# 7-5�� �� Q -� V Occupancy
to be occupied only as `(✓ Parking Space
Fire Sprinkler
in accordance with Plans, pecificafron a of-p gre�' mer. Elect.
Estimated Value of Improvements, $ d��r;/
I certify that in the parformence of }he work for which this permit is issued I shall not employ any person
in any monn99r so as violate the workman's compensation laws of California.
Owner �f Address 7
By �qG� � t� Address
RECORD OF INSPC TION
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