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94886 (2) 1120 ROLLINGDELL77 COURT Tract Not�744'Lot No._� CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT Date_7��V 197-& Permit No.14L � Application is hereby made for a permit to story Type in Use Zone af _ / _ - Occupancy_l to be occupied only a �}� Parking Space3 in accordance with Plans, Specification pla e�� r /v 7 rink ler . Electct Estimated Value of Improvements, ; �O ' I certify that in the performance of the work for which this permit is issued I she I not employ any person in any manner so as } violate The workmen's compensation laws of Cali rnia. Ow G Address/ 01"" Address 9 7 RECORD OF INS ECTIO Foundation 76 Frame - Stucco Finish 260-601N Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant: as orner ❑ statement filed ❑ l/ --+ Applicant attests that his State of California Contractor's License # c2 /—7 /�7 3,� U is in full force and affect and properly authorizes this ap��plittati n. San Jose City Business License # 9/l,t✓/7b F � O+� - �1L1��f 280-601 N