537541128 Sgafford
Y-0";oo
Tract No.(/a /94 Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIONR BUILDING PERMIT
"j-, , I� Permit No.S3%S'S��
Application is
a -2�- story, Tt
to
Use Zone
at It X X a) eI%prowb W. Jy . Occupancy _7 -
to be occupied only asl2__ iYQ�'V&S(G/'/ /(�P.ark%g Space _�
in accordance with Plans, Specifications and g Plot -plan filed herewith. Fire Sprinkler
Estimated Value of Improvements, $ �T` Q &40
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ �/� / G
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly
pquthorixes this application.
San Jose City Business License # • x / 40 x
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
m any mann o as to violet, the workmen's compensation laws of Californi`� 6 ('
OLmer Address �J HW� /'
By V Address i�G3 o wtC+D""r
I
N01103dSN1 10 003111
99/5 — viol — 1"082 °"°d
1128 Sgafford
Y-0";oo
Tract No.(/a /94 Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIONR BUILDING PERMIT
"j-, , I� Permit No.S3%S'S��
Application is
a -2�- story, Tt
to
Use Zone
at It X X a) eI%prowb W. Jy . Occupancy _7 -
to be occupied only asl2__ iYQ�'V&S(G/'/ /(�P.ark%g Space _�
in accordance with Plans, Specifications and g Plot -plan filed herewith. Fire Sprinkler
Estimated Value of Improvements, $ �T` Q &40
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ �/� / G
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly
pquthorixes this application.
San Jose City Business License # • x / 40 x
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
m any mann o as to violet, the workmen's compensation laws of Californi`� 6 ('
OLmer Address �J HW� /'
By V Address i�G3 o wtC+D""r
I
N01103dSN1 10 003111
99/5 — viol — 1"082 °"°d