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53549 7951 Folkstone Tract No. 3/ a� Lot No. CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT �9 Date 5--2, 3 , 1967 „ llermit No. -5 -3S Application is hereby made for a permit to xa. a__story, Type uilding Use Zone.— at S�� Foil< T+ � Occupancy to be occupied only as , �/� Parking Space 2 in accordance with Plans, Specificafio�y n6 of-pl iled"hefev re Sprinkler Estimated Value of Improvements, $ /1, 000 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 # 4 is in full force and effect and properly authorizes theirs�japplication. San Jose City Business License #'�—�OS[^ I certify that in the performance of the work for which this permit is issued I shall not employ any person iola the workman's compensation laws of California. Owner vin any manneryo as IZAddress 1rs 4 F- B By sp' V'e Address fie-Q 44 RECORD OF INSPECTION Foundafion " C ,�G !g Fra Stucco i`F nish /a ' �/• G 7 QGy� Form 2801—10M—5/66