55253 /bib marnhart
Tract No. 14.Sy Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date /01,23 , 19(0 78" . 11
^ Permit No. SSZ-S-3�✓✓
o
Application is ereby made for a permit
a stor yp e i g Use Zone ig !B 6
at 7(038 Occupancy —
to be occupied only as 1 Fav I Parking Space Z_
in accordance with Plans Specifications and Plot-plan file�ewith. Fire Sprinkler
Estimated Value of Ipnfs, $ CfJ Q
Exemption from requireman for tate ofa' r ti or'sit o i eby claimud by undersigned:
as owner El statement filed ❑
Undersigned attests that his State of California Contractor's Licensa 19 3c�✓ 1
is in full force and effect and properly authorises this[application.
San Jose City Business License # 4 —r7il
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 workman's compensation laws of California.
Owner -J- ,:y, Ter d ASSoc,� I . _Address 11 7S
• ���„'i l/ Address l
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