5968 (2) Pkiink6s6 Ave.
Tract No. Lot No.
CITY OF SAN JOSE . BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date /9 . 119 712 Permit No. .� 6KZ 0Kti%6
Application is hereby made for a permit to %��� Gsxai 6�rne�1 oro✓e'F �r o
a �story,TAe �1 -Building .+ Use Zone r-narl.bdrZl
at /3�$ / rin ro�ESQ/ v��/w Occupancy /
to be occupied only as /Fein rn� w1A /'I cn rror j- Sq.feet
in accordance with Plans,Specific Plot- Space
Estimated Value of Improvements, $ �� t(a�i. �_jW A f/IFireSprinkler
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 workmen's compensation laws of California;e7)
Owner r Q- /LIB'S Aloe4S f Address -3 r�h�"d�' ` —
By /L Yrch O/VSj ��o Address , 14KWI.4 Ve
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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WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
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WHITE-FILE-' YELLOW-INSPECTOR- PINK-OFFICE