53782 F 7555 De Foe
Tract No.—Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date j, — /Y , 19 6 7 Permit No. r
Application is hereby made for a permit to CF.O/1 CL"�>_
astory, Type .. Building Use Zone
at 7 Occupancy—Fl—
to
ccupancy
to be occupied onlyas., Parking Space-
in accordance with Plans, Specifica#'ons and Plot-plan filed herewith. Fire Sprinkler
Estimated Value of Improvemenfp // o O
07: Of Exemption from req uiremen} for Sfafa C if ,(,a for of ra or L(cMKe is'tlere laimed by undersigned:
as owner 9 statement filed ❑ '
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly authorizes this application.
San Jose City Business License #
I certify that in the performance of the work for which this permit is.issued I shall not employ any person
in any
Ownermanner so as 1h�frk_,nan's compensafian laws of California., / !A
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d/�. /� �n Address 7 5 .5S(/J,/J. rL//V\_/�
By Address
f
7555 De Foe Frederick C. Keen �"
99/5—No —I o8Z w�oj
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