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81490 7643 Hollanderry Place Tract No. Lot No. CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT �! r 7 �. Date .J_ G( , 19 / q Permit No. ApplicatioFn is ere made for permit to ' 1 L) a story, Type — Buil�in Use Zone i" Occupancy to be occupied only as C-C > IQPng Space in accordance with Plans, Specificatio/nS) -Fila-nfe rewrth.�1 ce lofprTAkler I i mer. Elect. Estimated Value of Improvements, $ 7, D C !/j,�jt(,�eu(_, I certify that in the performance of the work for which this permit is issued f shall not employ any person in any manner so as t violate the workmen's compensation laws of California. Owner T L 'C Address Address INSPECTION (('' �, / ORD OF f / oun tsofi � C Frame 74- Stucco Finish L7 7643 Hollanderry Place R. Garber �� Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant: as owner ❑ statement filed ❑ / Applicant attests that his State of California Contractor's License #_ / a 3 ti /`� 47 Z is in full force and effect and properly authorises chis application. San Jose City Business License #'_ `� --- ��Ce 2= / Form 280-1