46502 F7854 Festival 61
CITY OF SAN JOSE BUILDING DEPARTM4NT
APPLICATION FOR BUILDING PERMIT
Tract No ....................... Lot No.-------- ------------
//S � 4-1(10 5-6 P
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Data .................3 - y¢ 19.5? Permit Not ..... ..................... •-•--
Application is hereby made for a permit to ......... .429V...... ..................................
a.._�......stcryTYPe��j�'�//t/......................... :.--.. Building
at ....
71�_S¢... Fb�Ti v Use Zone ....
- Occupancy ----------1---------
to be occupied only as !-Ir2? --r_ _C L�'aw��1Y (Parking Space ..... --...2/......
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements,$.................0D
------.............
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
applicable to the construction, location, and use of buildings within the City of San Jose, will be complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any person in
any manner so as to violate the workman's compensation laws of California. IRa Nd0,$E
fnr P �.. (�o_y oV Q �. ..... ddress.2FlS Fe iy..ak-/-----`-f i-eit..v.lt
Owner...... ---- ...... .---- ...- -----
Contractor
By Agent ..----- _Qa ! oS-............... Address-5.oLD---...SU ... .C!$ co/xl.. _.29.
7854 9�stival A. G. Dnovan x17333
Form 2801—IOM-12-63
RECORD OF INSPECTION
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