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52469 1124 Elmsford 2&& i3 Tract No. /26 Lot No. 31 CITY OF SAN JOSE BUILDING DEPARTMENT ` APPLICATION FOR BUILDING PERMIT 04 U-L 296 Date �• 19 � 7 3 Permit No. Application is hereby_made for a permit to a story, Type_ BYlldin /� Use Zone 040 at Y alt's FriKO Occupancy to be occupied only asSAV6WK Parking Space z in accordance with Plans, Specification�a PI6 /nWU ' i h' Fire Sprinkler p o- Estimated Value of Improvements, $ (t 0��• G��•y� Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned: as owner ❑ statement filed ❑ Undersigned attests that his State of California Contractor's License #}' 7 is in full force and effect and properly authorizes this application. San Jose City Business License #k 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 theworkman's compensation laws of California. _ Ow er UNTf'P ssI,���9tjC. Address/��s S y I 'StJ• By `�l�'• V• . Address Ainw-44, 6cf�^'G 99/s-WOI-1 08Z -1-j o»n+S NO11O3dSN1 dO a8003M