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� Tract No.,::�00 Lot No.����� /39
CITY OF SAN JOSE BUILDING DEPARTMENT 1
APPLICATION FOR BUILDING PERMIT
Date Am � 7 , 19 Permit-No. 7 U 4&3-y
Application is hereby made for a Permi+ to /d' 1�
a story, Typ >/ 3R 8uil��g� Use Zone
at /�3� S(/!//- �� �GG� /'`2eL� Occupancy
jJj�r ing Space
to be occupied only 11 L �� ,/ / ire Sprinkler -
in accordance with Plans, Specifica I an of-plan ii�d herew'
Estimated Value of Improvements, $ 5�DOD
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any my� ror so ams viola/} the w lime is compensation laws of California,
Owner`/ /�Ys7Y�L/`/ Address
gy_ prlAddress o
RECORD OF INSPECTION r
Foundation /;- ?113 �i� Frame/2 ��/�7 2- d�?/> -y+' e_`
Stucco' Finish 2-, 7 2-
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