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Tract No., Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION. FQR BUILDING 'PERMIT -z
Date 3 J 2 , 19- -Permit No._,_Q1f_'K v_✓
Application is hereby made for a permit to 8,ylL.0
a_/_story, Type Buildin Use Zone ��_
at / 4M C, & Occupancy
_
to be occupied only as pParking Space
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in accordance with Plans, Specifications t-plian i e e ire Sprinkler
Estimated Value of Improvements, $..20,000
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ # 13'/ /We/7 3 e
Undersigned attests that his State of California Contractor's License 7 77
is in full force and effect and properlyt tauthorizes this application.
San Jose City Business License # T—j49eTS
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any ma a so a to yi to tl workmen's c mpet fion laws of Calife niaa e
Ow er • Address//
Address
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