78027874 kbbindell w'ay
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date,19 0 Permit No.
Ap lication is hereby made f a permit to l G A Y 57— a. r
a story, T e S I' d Use Zone
to be occupied only as;Sq. feet
r
in accordance with Plans, Specifications and Plot -plan 4id hercwlih rarkii-g Space
Estimated Value of Improvements, $ _��/fl/' Fire Sprinkler
Enter. Elect.
I certify that in the performance of the work for which this permit is issued I shell not employ any person
in any manner so as to violate the workmen's compensation laws ofCalifornia. /
Owner JO Address 7,Y7 �%/1OOlAlDS// /.�V.�V
By - 1 ) Address 7D�,2I�—
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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780 671
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