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52469 (2) 1116 Elmsford 3o',r3 Tract No.3/90/ Lot No.-? CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT xQBt2L Date 1 Xz- 4 , 19 e ? Permit No.� 206/ Application is hereby made for a permit to CojiL0. a I story, Type 'r— Building Use Zone R/-8 L at . S•T' Occupancy_,r` to be occupied only as .5 W� Parking Space in accordance with Plans, Specific tions d Plot-plan filed her with. Fire Sprinkler Estimated Value of Improvements, $ F 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 # is in full force and effect and properly authorizes this application. San Jose City Business License # V. /05-4xj I certify that in the performance of the work for which this permit pis issued I shall not employ any person inany manner so as to riolafo the workmen's compensation laws of California. Ow�fne_r_K, E V—A=e-. /k C- T-We. Address ByL7�t 44%rl V•P• Addres n�_,...eko 99/5-W01-I OBi w+moi ysluwj 000n{5 F1" L �—c ' uoi;epuno j N01103dSN1 d0 41100311