78720F 5950 Sutton Park Place
Tract No. 5-10 0 Lot No. /Q
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 19 -13 Permit No.Z7Az-?0/!57—:
Applic tion is hereby made for a ermit to
a c story, TypeUse Zone C—
at ,j U $"U o / /l /�L Occupancy
,� o �� rking Space
to be occupied only as \ ire Sprinkler
in accordance with Plans, Specificatibb -and'Plot-plan filed herewi PEmer. Elect.
Estimated Value of Improvements, $ ��.5-C,0 ,
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 workmen's compensation laws of California.
Owner //JI%/Zr//y Address .!5 T10
By S'u v 5-/2' 10 o /S Address &9 S G(J/ti/NESTS/2
^RECORD^OF INSPECTION
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