627091102 Milky Way
Tract No.
CITY OF SAN JOSE
/ APPLICATION
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Date J- _oO ± , K
Application is hereby made
�for
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a / story, Type_*/Q
Lot No.
BUILDING DEPARTMENT
FOR BUILDING PERMIT_49
f- Permit
to be occupied only asz2v_# �o% � _o
in accordance with Plans, Specifications and Plot -plan
C/ Use Zone-�
//� Occupancy
CN ng Space
herewith Sprinkler
Estimated Value of Improvements, $ .
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 the workmen's compensation laws of California./
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RECORD OF INSPECTION
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