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Tract No. c26s Lot No.(L /(/p �L qq,S ya4ife2v
CITY OF SAN JOSE BUILDING„DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ` l? -C. 4 - , 19%
nnL Permit No.�1 _
Application is hereby made fo permit to _ /� 'M - y �L%! 70
a story,, TypeC-14� ccu Zone 7
a# // 6J //� Occupancy
o Parking Space 2
n be occupied only as Specifications
ons n a (A'i 041-
in
nq� S
in accordance with Plans, S ecifica+ions anI%37"t
to fi 2, n
S Elect.
3 E
Estimated Value, of Improvements, $ r - '
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.
i�Own, Y4. C/6' 0' �o5E % ddress
gy ��/Address //a/ 2
RE R OF INSPECTION
Foundation
Frame
Stucco
Finish
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