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Tract No. 3126 Lot No. 59
CITY OF SAN JOSE BUILDING DEPQRJMENT
APPLICATION FOR BUILDING PERMIT ti
Date July 20 19 67 Permit No.
Application is hereby made for a permit to
a one story, Type residence Building Use Zone!-0-6
at 1161 Yorkshire DVe,�j$^YtG�seC'83=i�� Occupancy
to 6e occupied only as one-fairly q Parking Space Z
/}>~ +�A *Fire Sprinkler
in accordance with Plans, Specifications and Perot-plan filed herewith./ �j�
Estimated Value of Improvements, $ 16,000.00
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner IS statement filed ❑
Undersigned attests that his State of California Contractor's License # B1-193961
is in full force and effect and properly authorizes this application.
San Jose City Business License #4-10548
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 workmen's compensation laws of California.
Owner R. nter & A oc.,Inc. Address1175 S. Hwy 9,San Jose,Calif.
By Address same
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