784991102 Milky`Way
Tract No.9" Lot No.'FIZ— Y
CITY OF SAN JOSE BUILDING DEPARTMENT
PLICATION FOR BUILDING PERMIT
Date r7 3 1 19 Permit No.�_�
Appli tion is/hereby made for a permit to a�//c, i7
a stor, Typed k^ a V�Y9/ Use Zone
Occupancy 0
to be occupied only as �� _ A /,y Parking Space
in accordance with Plans, Specifications plaryfiF4rf6�o4�ki Z5+5 Aprinkler
p� Emer. Elect.
Estimated Value of Improvements, $ o�,����
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 viol he workmen's compensation laws of California.
Owner— �'� G� ETf+ddress ZLe�14�)z
ByAddress-6'3 �, 27' 77-;'X
RECORD
OF INSPECTION
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