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Tract No. y Lot No.�L_
CITY OF SAN JOSE BUILDING DEPARTMINT
(% i PPLICATION �F-O7 R UILDINPERMIT // P
Date _L -19 � Perm*t o.
ApplicaKo is here m e for a permit to
a_ s+or TYP _ d� mg Use Zone
at Occupancy
to be occupied only as Perking Space Z.
Fire Sprinkler
in accordance with Plans, Specifications a''n/dd of-plan filed herewithh. �JEmer. Hec+.
Estimated Value of Improvements, $`7� _ 00 '-- 6 '
I certify that in the performance of the work fo which this permit is issued I shall not employ any person
in any manner so as to violafe the workmen's compensation lawsofCai?rnia t .St. S.C:<
Owner _ IDERO Address oofl ,
_ Address 3080 0100tt Jt. S.C.,
e so
I-11P-;.2WdV1RECOR6 OF INSPECTION
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