58225 972 Westlyn ����,�,y�
Tract No. LY(L Lot No.4
CITY OF SAN JOSE BUILDING -DEPARTMENT
APPLICATION FOR/ BUILDING PERMIT �•lej s7 zo¢v
/ 4
Date 7/ 2 S 19 1pdPermit.No.
Application/is here made for_,a permit to
a�Lstory, Type 'vUse Zone ;F- 3
a# 7 2 e Occupancy _
Parking pace
to be occupied only as � FirSprinkler
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $ 7'� OV-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.
pyyner l' :� -. Sb�N , r .�e Address �3&I c9-�ec�oros cak- tLud...$;�
Address
By
RECORD OF INSPECTION
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