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53549 7985 Folkstone 2�A Tract No. 3 14 G Lot No. CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT Date .5-- .2-3 , 196 ? Permit No. Application is hereb� ade for a permit to Gm✓Y TQ✓G'r �1 o_/—story, Type _/ Use at Occuanc �� P y � to be occupied only a • /PL�v. Parking Space 2 �i �/��r "re Sprinkler in accordance with Plans, Specifi io send Plot an fi e e witth.e Estimated Value of Improvements, $ yj OV1> 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 properlyauthorizesapplication. 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 man er so as to vio to the workmen's c mpensafion laws of Californ'a. Ow r r Address N gy K-jP Address °"'x RECORD OF INSPECTION Foundaf ion S�3i1L744+4 tib. Stucco Finish 7 2 w8 Form 280 1—10M—5/66 ,