51152-F 7933 Rainbow L
Tract No. s Lot No. 3 LP
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date At-9 ' 3/ , I9�` Permit No. S r) 52- - (--
Application
52- - rApplication is hereby made pr a permit to id. tc-
a story, TypefId' se Zone
at 757.3 2 4i�9 ����✓r�//� ccupancy J
to be occupied only as Parking Space _
in accordance with Plans, Specifications and Plot-p here it -/FFiire�5 rinkler
Estimated Value of Improvements, $ g
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as` owner ❑ statement filed ❑ / G /7� CS�
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly aufhorises this ap lication.
San Jose City Business License # Z 8 3
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.o
Owner/T;r /-7 ' Ile , Address 79 3 3
Address QHS dyr marc �� s7
7933 Rainbow Jim Miller S r
99/5—W01—I-C9z w,oj
9961 r z �0 !
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