52659 862 East Estates
Tract No. 2077 Lot No. F
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 3 2 _ , 19,62 Permit No. 26'5-g
Application is hereby made for a permit to
a�.story, Type ./� Building YQ Use Zone
at RG, Z �4<f GS //oe1f�y�,�/ okj Occupanry�_
to be occupied only as / '•� Parking Space 2
in accordance with Plans, Specificati ne and P an re Sprinkler
Estimated Value of'Improvements, $ Z ,,�X
Exemption from requirement for State of Calfornia for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ /
Undersigned attests that his State of California Contractor's License # 6
is in full force and effect and properly authori ss iiy Qlic 4ion. ,
San Jose City Business License # J/ r !! 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 o as }o viola}�oyfh workmen's compensation laws o{ California.�
Owner /J 'ed-N -Address
By ._ /(a>~' (^ Address �✓`_� �� .p f9Q
862 East Estates -9 James Hansen r�
. 99/5-W01-1-08Z -1-j
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N01103dSNI 40 G8003b