95504 1029 TUSCANY PLACE R-4-4Q
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Tract No. 63S Lot No./
CITY OF SAN JOSE BUILDING DEPARTMENT
A PLICATION FOR BUILDING PERMIT
Date , 19 7 6 _ Permit No.
Applica 'oi is herebf_made for a permit to
a / stor , Typ _ B ' i Uze Zone
at U Occupancy /
to be occupied only as � �¢ /Parking Space 2—
in accordance with Plans, Specifications a d Plot�Q}'iled kr6tdwrthv
EmerJ��k
Estimated Value of Improvements, f—a4y19oo ¢ . /S<{6#
I certify that in the performance of the work fol which this permit is issued I shell not employ any person
in any manna so as to violate the workmen's compensation law f California.
O wner 1 Address Olcott St. S
Address 3080 Olcott St. .S.C.
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RECORD
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