517571121 Stafford
Tract No.3 rA C Lot No.��
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION F95 BUILDING PERMIT _
Date 19 00. Permit No
Application is hereby made for a permit to co virovor
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a story, Type ..Buildingi Use Zone/? L_
a+�[/3./ JTN�=���tA yarr. .fv% ��occupancy r
to be occupied only as�Arf��t wAM. *$ .;P/� Pfimg�Space
in accordance wiffs Plans, Specifications andelPlo+-plan filed herewith. Fire Sprinkler
Estimated Value of Improvements, $ AT f%O_aw•
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ - statement filed ❑# `_/ _ /f.
Undersigned attests that his S}a#e of California Contractor's License Ela
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in full force and effect and properly /authorizes Phis Qap plication.
San Jose City Business, License # 7 �;Ai
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any maser so as to violate th%workmen's compensation laws of California. r r
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