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� Tract No.�D ,Lot No.� �.3 —
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT o,r. Bas
Date �C� 7 , 19 Permit No.
Appli ation is hereby made for a permit to Ic-
a r � tory Type �.,�f � B i�ldiog Use Zone
at "9 F'7&1 15 �� Occupancy /f
ti to be occupied only a Parking Space
/.` Fire Sprinkler
in accordance with Plans, $pe if ca ions and of-plan fi ed herewith. PD 71 3_/0 REc
Estimated Value of Improvements, $ �0�� Rea 71- 18/
1 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 v IaTe }ha orkme s com ensation laws of Califor
Owner_ G/ dress �/
By / Address /OAU
RECORD OF INSPECTION /i ^
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