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Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �7 _ q _,e,,,r/
Date" 2- g 19 7 Permit No.671 8�D_ 5 J
Application is hereby made for a permit to_ct
a—I—story, Type R/ 'Iding � Use Zone
at
' Occupancy_I
Parking Space
to be occupied only as y� G ✓� Pi
Fire Sprinkler
in accordance with Plans, ecificatio an lot-plan filed herewith. Emer. Elect.
Estimated Value of Improvements 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-Calirn(, .�/
Owner Z190(24) �/L. Address S's
'aa
By /3Lti �/�F�= Address 7/ 4�ru[76GJ �L .
RECORD OF INSPECTION �/�
Foundation Frame —7 ��/r-o'
Stucco Finish 7 _
D. Whittake
7455 Dumas r F
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