8952 965 November Drive yam'
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIO FOR' BUILDING PERMIT S
Date 3 � a y , 19 7 � � '
' Permit No.
Application is hereby made for a permit to
a / story,Type /1_ ,Building A. Use Zone
at A)o v e _ Occupancy
to be occupied only as Sq.feet
in accordance with Plans,Specifications a d Ployplan filed herewith Parking Space
Estimated Value of Improvements, $ >�11 t t�/ Qre�Spriinkler
Enter. 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 as to violate the work/men's compensation laws of California.
Owner ..J AM Fs nk//� /. 4i 4 Address �(' /Vj v e r �' `
By Pr-�.-i•t PCPi Address 70 '7R ��Ot.l h-.�s.?
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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INSPECTOR
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