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Tract No. 311 Lot No. /
CITY OF SAN JOSE
BUILDING DEPARTMENT
APPLICATION jOR BUILDING PERMIT �q
Date 2-3.2 , 19 7 Permit No._�49e'/FA6V
Application is hereb ade for a Permit to L
a_�story, Type B• din9/� Use Zonel_�6
at is .Q f ` Q �pL ,may Occupancy—�
+o be occupied only'as /�+�• //� � tk ng Space t—
in accordance with Plans, Specifications and o+ -plan filed herewith. Fire Sprinkler
Estimated Value of Improvements, $ 2040010
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ ��'
Undersigned attests that his State of California Contractor's License # ( 7
is in full force and effect and properly authorizes f is application.
San Jose City Business License
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any ma er so as to viola}e The workman's co pen Add laws of Califoini
Owner J G� Address��/�
B Address/IeNw��
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