13917 (2) "75a 7''D>; rA FAPAM'
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
3-�7 - P.C.Date PLICATIO FOR BUILDING PERMIT
Date , 19 Permit
Application i�e fora permit to ig ' 'X/8 .�
asto Type 7 ��_ i Building Use Zone K' /
at "7�o 7 77 — J Occupancy
to be occupied only as i 1'
Sq.feet ;7- 3 V
in accordance with Plans, d -QI ei ewith. Parking Space
Estimated Value of Improva e ,$ (n7� , ' Fire Sprinkler
Pit r r.Elect.
1 certify that in the performance of thew fo 1,h i ermit 411:6d all not employ any person
MM•� �e �a�ar�q� -T
' IL)1 4tA f-iA/ Address
Owner , X50, S . JOSS
' OrA y Address ?,254 ISaCknra D t- S•TOSC—
.
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 atter
commencement ,,(//
FINAL INSPECTION jL� A ^� �'"' Rev. T78
13/78
6 .a 83 61DRW 7s0 > Delo F42GE ik
Exemption from requirement for State of Califomiaf Contractor's.
I License is hereby claimed by applicant. //.g
as owner O- '. statementfile h
Applicantattests that his State of California Contractor's License No. 13a I f379
Is in full force and effect and properly authorizes this application.
San lose City Business License No. -2—
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