5989 1181 York"shi"re brive
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date Z , 19 77 Permit No. n -
Applicat on is hereby made fora permit to k /S ZS G!!/ ' %p7 j
a —L sto y,Type Building��,, Use Zone
at _/��LK (-S z •Occupancy S
to be occupied only as Sq-feet
in accordance with Plans,Specifications and Plpt-plan�filed herewith. Parking Space
Estimated Value of Improvements, $ 32�t �YU/��� Fire Sprinkler
Enter. Elect.
I certify that in the performance of the work for which this permit is issued I shall not emplojapr son
in any manner so as to violate the workman's compensation laws of California,
Owner �VI��2-0KCf �i;IJ6 Address 4 Y-0Mk•S(I(a
By I(r:Nr I r n1 C Address C'_.J H fes., �"-f o
11
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 after
commencement.
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INSPECTOR 7`t'7�tdt/)srT12 Z_
280-671
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WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE �!,
• 1.LOCATION 2.DATE RCD. 3.TIME RCD.
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280-871
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE