51977 F 1208 Bubb
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING BUILDING PERMIT
Date J/ — .�. , 19 CO L Permit No. S/ 9 72 /—
Application isheryye��by madepfor a permit to '1=/ 7-0
a / story, Typre{�/1/ CI �S Building Use Zone fN—'
at—/.,) C< ,5 h C �j T Occupancy
to be occupied only ashOWII /11� Parking Space
in accordance with Plans, S ecifi ations�ndd Plot- Ian filed herew' h. - Fire Sprinkler
Estimated Value of Improvements,
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ p p
Undersigned attests that his State of California Contractor's License # /(,' 9 E (L_�
is in full force and effect and properly authorizes this application.
San Jose City Business License # / 3 i}'
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�m '� Address IAO -6
Address_ -t 7 5�
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120 Bubb Donald Araldi
99/5—No —I'88Z w,oj
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