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Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICA I N FOR BUILDING PERMIT
Date �� —� . 119 Permit No=1, r
g � Y
Application is herebyd a e 't7 !Oy
a story,T p Use Zone
at GOccupancy
to be occupied only as Sq.feet A/3:2-
in
�
in accordance with Plans,Spe s ld arking Space
Estimated Value of Improvema Sprinkler
Emer. Elect.
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
in any manner so as to violate the workman's compensation laws of California.
OwnerA U STf N P. FDOI N Address 75-�9 ROLL-I N G-ER RD.
ByAddress
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. Q1
FINAL INSPECTION ✓ T-t1.YyLj �-1�60-GO1 N
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