52469 1144Elmsford 7 yoo C-
Tract No. J 1 zs// Lot No. 36
CITY OF SAN JOSE BUILDING DEPARTMENT
/ APPLICATION FOR BUILDING PERMIT_ SC�L2L
Date 1 G 19 G Permit No. S 2
Application is hereb• made for a permit to .o)60.
a 2— story, EWild+'y9.f/ Use Zone
at // r,�ci: dV, t / Occupancy_
to be occupied only a E' $• Parking Space Y
.
in accordance with Plans, Specifications en PI 4/pla d WeeFire Sprinkler
Estimated Value of Improvements, $ �2!K WV' PCs
G
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 r�
is in full force and effect and properly authorizesthisapplication.
tL
San Jose City Business License # 4r—t T e
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any nner so as to riolafe the workmen's compensation laws of California.
Ow ertC T �/"[ � f�d[ Zwr. Address SS HW V.
By iJ� �4��.i fra�i V• I� Address 112---L"
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