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Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT"
Date 21 19 ' v Permit No..
Application is hereby made for a permit fo
a�s+ory, pe_ 'djng g�j UZone
Occupancy
pancy T
to be occupied only as� Parking Space 2
in accordance with Plans, Specifications P pia h i S inkier
�} Elect.
Estimated Value of Improvements, .$ (!
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any ma r so s to violate the workman's eompe nsetion laws f aliforni ��]]
Owner Address �6�3
By / Address rzdl
RECORD OF
INSPECTION
Foundation
Frame fly 17y ✓
Stucco Finish
6693 Clifford Dr . F . Sanders
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