504901064 Westlynn o)
Tract No. 3.2 U Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date Ae� `� % 19 ` r Permit No. S U Y y U
Appli #ion is hereby made for a permit to �y7
astory, Type G -Building"/ Use Zone
at /0�?iU ES T �f' N N W f ; Occupancy +
U
w vc 1;T C A /t w a r Parking Space
4 %r-,.
to be occupied only as / FA t �P,i „r gLt^2 "o , .� Iia
lt�Vfi0 0a. dF're'Sponkler
in accordance with Plans, Specifications and Pfo -pan ft ed erewi � -
Estimated Value of Improvements, $ % s' -OU r
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑
Undersigned atfes+s that his State of California Contractor's Liconie #
/O SO s
is in full force and effect and properly authorizes this application.
San Jose City Business License �#x '�< — / f` se :r %
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