70463-V (2) " -8158-60 Park'-Villa 'Circle. '�'r �' 600
�y ���j� N. -r;fy' 76 00
Tract Nod's Lot No. 3
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Da#eOL-' 7 19 reer^Ji+ No. 70 463-Y
�yA/pplication is hereby made for a permit to Zia IL � �
a �',story, Type. Building Use Zone
at /S'ee ow !}�. l6 GyjedL� Occupancy
to be occupied only a �. rking Space
in accordance with Plans, SI jLaps s and lo+-planTW'f ed h rewi+hFire Sprinkler
. Pp 7/_3—/b
Estimated Value of Improvements, 0(917° '� Rts 3993E
1 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 }o iolafe he wo man's co -ansa ion
laws Calif nia. o /f
Owner__ �Address 7 LTi
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Y
RECORD OF INSP��EyCTIONn Q
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