78661 7860 Festival Drive
Tract No. Lot No.
CITY OF SA JOSEBUILDING DEPARTMENT
PPL ATION FOR BUILDING PERMIT
Date , 19.� Permi�No.
Applica on is hereby mad or a permi# to ��
a % story, �� it
Zone
a# -G.� Occupancy
to be occupied only / ��%�eG' Parking Space
in accordance with Plans, Specifications a 16t-plan i e her, ith, Fire Sprinkler
Emer. Elect.
Estimated Value of Improvements,
1 certify that in the performance of the work for which this permit is issued I shell not employ any parson
in any manner so as to vielate the workmen's compensation laws of California.
Owner li/C d/Itf/ ZYV/L9 +/5nf� Address
B Address �1;1Or-rl 1G
_ -• RECORD OF INSPECTION
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