54048 1139' Yorkshire ) G 300
Tract No.J 2 6 Lot No. 0 ?' 0400
CITY OF•SAN JOSE BUILDING DEPARTMENT
/ APPLICATION FOR BUILDING PERMIT !f
Date / , 19 62 Permit No. .S 4
Application is hereby made for a ,pee�rmmii�t to Co l�S�v�T _
a— story, Type / .V�LI�Y•e8uilding /�� Uze Zone
Sylee,-E //.P- / �/ /J� ►iPancy .
to be occupied only as, _ e ,� W4P/rking-Space
-�—. Fire Sprinkler
in accordance with Plans, Specifications and Plot-plan filed herewith.
$0L rV u Z,9 oo�
Estimated Value of Improvements,
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ 13_/���G/
Undersigned attests that his State of California Contractor's License #'
is in full force and effect and properly authorizes this application.
San Jose City Business License # Q -SOS y, '
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 viola# the workmen's compensation laws of California. r
Owner i - 4 �lt 7-e' Address
By2177 14,6r- v/7' Address
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N01103dSN1 10 080038