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Tract No. pLot No. ��7J
CITY OF SAN JOSE BUILDING\DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date C / o- _, 19 7 ( -- -Pefmi+ No. L �c/ C3
Applicati is hereby made for a permit +o �J L, I Pei
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a t story, Type B ilding Use Zone B�
at c Occupancy
Parking Space
to be occupied o as
Fire Sprinkler
in accordance with Plans, Speaf' ations and Plof-plan filed herewith.
fir. Elec#.
Estimated Value of Improve � ,
I certify that in the performanc f work for which this permit is isa I shall not employ any parson
in any mann so as t •olate a workmen's compensation laws o - lifornia.
Owner -r-- Address [
gy Address -
nR,E,COORD OF INSPECTION ^ n
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Foundation ` , ` 1�`r;� Fra ��S��-( 1 —�
StuccoFinish
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