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Tract No. " //O Lot No.—! `&G
CITY OF SAN JOSE BUILDING DEPARTMENT
(��'//^ APPLICATION FOR BUILDING PERMIT ?O%2'-
Date All 19 7/ - Permit No. V
AppP ion is hereb m de for a permit to &// G,/�
a 4VO story,, Type Building Use Zone
ate2f O ' FC / hf Uzi
Occupancy
br�` p�.�,`n sf;arkrgp5pace
to be occupied only az ��"'' //6-�/ r
in accordance with Plans, Speci Hca ions and�Plof=plan filed herewifh. ��e $ rinkler _
O S!!-1,94 Einar. Elect.
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 fo violated a workmen's comb�� a�� ns��ation laws of Celifo�nia.
Owne f AC A -dress
By Address
Address �-
RECORD OF INSPECTION
Foundation Frame
Stucco Finish ?• 2Z. 7 2. 2 w
c o taP 5T14
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 # /
is in full force and effect and properly authorises this application. r
San Jose City Business License #
�- 13591
Form 280-1