57206 978 Westlynn
Tract No. yyy�' Lot No.�
CITY OF SAN JOSE BUILDING DE .ARTME
{, APPLICATION FOR BUILDING PERMIT
Da+e—b l_f9 / IS 19 6"K P rmit No. 7
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Application is hereby made for a permit to
a 2 story, Type/ i� Bildin Use Zone
at , l Occupancy_
to be occupied only a putt Parking Space
e Fire rinkler
in accordance with Plans, Specifications and PI p filed herewit�
Estimated Value of Improvements, $ .D ��
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. / r
Owner -�ol•stJ ���0.ct�ke Address 1690 �.Jtis�-wetd LAn'C
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ress ? S�aur CeolC 8C 5 .
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