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Tract No. 31 Lot No. G6
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIONfOR BUILDING PERMIT
Date �� a , 1917 Permit No. S'
Application is hereby made for a permit to <7u,✓J7Yr ,yO T ,�
a ?i story, Type _TL- B�ilding�O Use Zone �
at G Occupancy. •L
to be occupied on y asX//J_Parking Space in accordance with Plans, Specifications and Plot-plan filed herewifh, FFFFFFFFF Sprinkler �-
Estimated Value of Improvements,
�v,;
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License
is in full force and effect and properly authorises this application.
San Jose City Business License # At (� �
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 viola a the workman's compensation laws of California. Q
OwnerAddress ��,7J s' ��/ �e•0•`
By 0., dt • (� Address A - ��- 1
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