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Tract No. lot No.
CITY OF SAN JOSE BUILDING DEPARTM NT
APPLICATION FOR BUILDING PERMIT j 7 �
Date_�2 ' ZZ '7S , 19 Permit No.
Application is hereby made 11,M I pI Iit to ill UsNt RK.L (�Xr37rrc)_
a_.3_—story, Type wZone
_—Occupancy '14
to be occupied only as57 VAI)iSpace 8
Fire Sprinkler Al
,r4-0 in accordance with Plans, Specifications and Plot-pn filed herewith. Emer. Elect. 1J
o�
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. -
Owner S�����_OYn. 2/cd Addred887b [(-F'10liSAl i6A
By_ a„l�•(;C Address, .
REORD OF INSPECTION
Foundation_I— - _— Frame __ ---
Stucco Finish /�-22
260-601N
T09-023
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