52984 1123 Elmsford iWipa
Tract No. 3146' Lot No. '7 3
CITY OF SAN JOSE BUILDING DEPARTMENT
7 APPLICATION FOR BUILDING PERMIT
Date 3 - 2 C , 190 �qq Pgrmit
Application is hereby made for a permit to F� V�LV
a I /�3 tory, Type - Buis i g Use ZoneOccupancy—
/ r_
at ClF '� � Occupancy_
to be occupied only as Parking Space 'j
in accordance with Plans, Specifications rt- ii#h, re 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 ❑
Undersigned attests that his State of California Contractor's License # 7
is in full force and affect and properly_aut rises this application.
San Jose City Business License # (
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any man r so as to viol to thq workmen's compensation laws of California._ � •
Ow r T - Address//? f'
By Add ress4a,-r fi>t•-A� ,
99/5-W01- -08Z
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