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Tract No. Lot No.—
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �j'//�C t `�
Date �7 119 Permit No...�!—s�w---
Application is hereby made for a permit #o 72r.
a— story, TypeUse Zone_
at --7L/ " ' "_ALJ4—"7
�V C/ Occupancy#obe occupiednly as� Parking Space% prinklerin accordance with Plans, Specificationo I�l2WSn.
/
VA
Estimated Value of Improvements, $
I certify that in the •performance of the work for which }his per
in any manner so as to viol thea wore R's compensation, laws
kOwner_ Address
�.- By v Address _
RECORD OF IN _ EC
�t Pa-
n
-771 i >. 6A1A k..me
Stucco
1107 Kentwood Dr
Finish
I shall not employ any person
ia.
ti
9 Mrs. Smith
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