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3388 (2) 1075 Milky way ' ' -
Tract No.- Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date /ZE5 ..9/ , 19_77 Permit No. 0-9S
Application is hereby d f rm. fo 45 ,PGT. ,47,77 crate
a `- story, Type _ %V Q Use Zone//?9
at /f: 75 .4-774,tr .4Y Occupancy ___Z-
+o
+o be occupied only as � i9f� Parking Space 1-
in accordance with Plans, S tifation ot-pldlfd i
herewith. Fire Sprinkler
a Emer. Elect. —
Estimated Value of Improvements, $ S3 /OD .
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owi.o-s .Z.41,4-7..e-/Cf� Address 7113 -STANrr
iaeo PGA ; 5;J
y By ¢Q L�e%%��ZGfL%/!/ Address
RECORD OF INSPECTION
Foundation Frame
Stucco - ° Finish s Lt. i_ . _ G_s
260-601N
1075 Milky Way
ti r
Exemption
z�from requirement for State of California for Contractor's License is hereby claimed by applicant;�'l
as owner statement filed ❑
Applicant 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 #
280-601 N
'1 I �` 2.DATE CD 3.TIME RCD.
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