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Tract No. j S Lot No. 1s
CITY OF SAN JOSE BUILDING DEPARTMEj
APPPLICCATION F R BUILDING PERMIT " _6
Date ;P1'" 01 1'" / 19 �wT rmif No.a� 0 BS-" " '• s.
�ca+ion is herg_b made for a permit to
a stor T pe Building Use Zone /Q _
at Occupancy
to be occupied on] s Parking Space_
Fire S rinkler
in accordance with Plans, Specifications and ;, g�ep file Ih aXi+ �
Estimated Value of Improvements, �I �y
I certify the} i formence of "a work for which this permit ,s issued I shell not employ any person
in any m spa fo v, Ike the workmen's ompensation laws of California.
Owner V Address�/�4 se ✓__ —
By P I 2 Address .r_L) ! r P
/ DRECORD
OF INSPECTION
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