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Tract No. Lot No. -1
CITY OF SAN JOSE BUILDING DEPARTM_ENT
APPLICATION FOR BUILDING PERMIT
Date , 19 __ Permit No.
Application is hereby made for a permit to
-
a story, Type _ Building _ Use Zone
at Occupancy
to be occupied only as Parking Space
in accordance with Plans, Specifications and Plof-plan filed herewith. Fire Sprinkler
Estimated Value of Improvements, ; Emer. Elect.
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any manner so as to violate the workmen's compensation laws of California.
Owner Address
By Address
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
260,-601N