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Tract No. '��e Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date D���E� 7 19�,—_Permit No. 70'4'63'
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/Application is hereby made/for a permit to ,�� /za
a mit?—story, Type �Bwld'ng_._.c—Use Zone Q /BCS
a} �Cr4 _� Occupancy'—/7—
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ccupancy /
to be occupieace
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n VIA. '-�% F ra$pnnklerin accordance with Plans, SpdFi i a ions planerewith.
Estimated Value of Improvements, $ 000 / R�� 3ea Xp
I certify that in the performance of the work for which this permit is issued I shallnot employ any person
in any manner so as riolat the or mens compensation laws of California.
Owner( _ �/v' ALu��` Address Z?Ug «
By ZA4 , Address ��
RECORD OF INSPECTION
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