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93228KINGSBURY
Tract No. 5480
CITY OF SAN JOSE
Lot No. �B6 1973
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date_ April 27, , ig 76 Permit No.
Application is hereby made for a permit to build
a one story, Type $-Re g / ar. Use Zone R166
a+�Cli qC y If -r Occupancy
#o be occupied only as one fam. res n Space 2
in accordance with Plans, Specifications an o - an fie erewi ,�-3prinkler
4 b©L Emer. Elect.
Estimated Value of Improvements, E�
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 violate the work en's compensation laws of California.
OwnAE Ut
Address P.O. Box 612, Cupertino 95014
gy Address]023 Tul ipan Dr. S.J. 95129
fRECCOOR�D� OF INFE Ij I?
Foundafion.f�/P/11 .lILlC'i"�'w Frame.�I`�76
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Stucco Finish �
7504 KTYGSBURY PLACE
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