4694 803 Kin St. • r .
Tract No. Z 3 3r Lot No. 1
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMJ�
Date Z , 19?_2 Permit No. r? CLb6
Application is hereby made for a permit to :y4L ...i.. a s.
a story,Type t wilding Use Zone
at 'Ro7' lCi,s.c Occupancy
to be occupied only as ALT Sq. feet
in accordance with Plans, vemenicatitp>f a1d Plotjy} file_d,Fjerewjth. Fir Sprinkler Space [
Estimated Value of Improvements, r�,(�� Fire S rinkler
Emer. Elect.
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 m to violate the workmen's compensation laws of California.
Owner lLl�.GC �e2�NL(1L� Address 950 3 k/M S-
BY �(�di_ iiv1 Addresses-4(i nZ�4
So',
This permit shall expire and 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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