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Tract No. �7S Lot No. /3
CITY OF SAN JOSE BUILDING DEPARTMENT
AP LON FOR BUILDING PERMIT_
Date S' a , 1967 Permit No.S y 7Z
Application is hereby made for a permit to /34 i V
a _story, Type ui Use Zone •�—�
a{ p Occupancy •Z
to be occupied only as Parking Space -2
in accordance with Plans, Specificati��s a d Plot plan filed herewith. Fire Sprinkler
Estimated Value of ImprovementX(s, Z
Exemption from requirement{or 54atoCCf Ce .rota or Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 9
is in full force and effect and properly authorixas this app icaft
San Jose City Business License # y' SGS ��
I 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 to violate the workmen's compensation laws of California.
Owner �e s a S�c.Address //7J S 9 S . _
By Address
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