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-7
Tract No.� Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date -7 19-7-Z ��q Perrrlit No.
Application is hereby made for a permit to ¢..L/6c�Lt p�� R�
a�C story, T—. 7-A)- -Buildin ' Use Zone
atOccupancy ]
to be occupied only as r rking Space `�
� - Fire Sprinkler
in accordance with Plans, Specifi ations� 'dot-pler' il�w i _
Estimated Value of Improvements, $���!/�� 3963(-
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any mannerso si 1ha w rkmnsdr laws o
Owner_ Address
gy LAK 1= Address
RECORD OF INSPECTION
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