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I- '1 I'' Tract No:�& Lot No._L��O
CITY OF SAN JOSE BUILDING DEPARTMENT
//7,�� APPLICATION FOR BUILDING PERMIT
(iCb1f/�F�
Date 7 , ig 71 Permif No. �OA63 Y
Application is hereb made for a per to I�
l�
a stor Type Building Use Zone R �B�
at d'/ 9 sF'/.37 K diZZ C' zx:7 Occupancy �-
Parking Space
to be occupied only as t i •/ —
i,, �`Fire Sprinkler
in accordance with Plans, Sp ci ions andel ot-p a fi0�h rewith�! S—
Estimated Value of Improvements, $ _,.41 090 —
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any ma ner so as to violefy thaorkmen compensation laws of California. "
Owned E �U6 � Address
By-
Address
RECORD. OF INSPECTION
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Stucco Finish s s 2
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