53754 (2) 1140 Stafford
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Tract No. Lot No. 73
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date X—d-- , 199 7 Permit No..f 375'YeoL ✓
Application is hereby made for a permit to �O V 7W ve-I—
astory, Type _ i Byil Use Zone' '�'�
at NYo J7NFPa'IPr.p DIC l37 J Occupancy—
to
cccupan Y
to be occupied only as XA&d:1[ f'+'9!ot- ,PcS�,i /0 � //O t rgospace �^
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler
Estimated Value of Improvements, $-A uyy'
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ # —/- Or
Undersigned attests that his State of California Contractor's License
13
is in full force and effect and properloau��ss this application.
San Jose City Business License # 7
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any matn�nerTso az to viol }o f e workmen's compensation laws of California' r J
Owner h V' II{ ®c3a?• Address
B f�.ty- Address ll'r---�Gda t°'f!'b"`C .
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