529841132 Yorkshire770,0`?
Tract No. Lot No. S_ 1
CITY OF SAN JOSE BUILDING DEPARTMENT
r� APPLICATION FOR BUILDING PERMIT
Date J a 1961 f/IP it No_rXy I�� ✓
Application is herebymaade for a permit to
a story, Type i� Building Use Zone.���6
at l dIC lsQ C �. 'Wj erV2 jW Occupancy—
to be occupied only a Parking Space Z_
in accordance with Plans, Specifications and Plot -plan filed herewith. Fire Sprinkler
Estimated Value of Improvements, $ 2.c s rJ rJ N _ ,.0C
Exemption from requirement for State of California for Contracfor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ 54
Undersigned attests that his State of California Contractor's License #'{
is in full force and effect and properlY �authorizes +? application.
San Jose City Business License # �i —(a'�Y
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any m�" e^^r '° as to vio to t e workmen's mpensation laws of California. G
Owner IC. V • • Address It �' % 7 �y
By Address ^,"� •G Aa Gi�
�.V P
FM
99/5 - W01 - I-OBL -,.A
NO11OUSN1 dO 0800321