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-- Tract No. 44-: S-N Lot No. 37
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date /04a3 , 1967— Permit No.
Application is hereby made for a permit to 1�u t I cL
a _story, Type fR e S • uilding Use Zone A 18 b
at 7S40 a c Occupancy X_
i
to be occupied o s Parking Space Z-
in accordance with Plans, $t ecifications and Plot-plan filed herewith. Fire Sprinkler
Estimated Value of I provements, $ ®®o`rl
Exemption from require + fof6fe+e of
fo + �677 Lise is hereby claimed by undersigned:
as owner ❑ l/��/statam. {
Undersigned attests t is ate o{ alifornia Contractor's ansa B' I 1939/0 /
is in full force and effect and properly authorizes this application.
San Jose City Business License # — /,qx P
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�•� N ^` ker •FAsso�. t� Address 117 S • I�W I 9
Address
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