51877 1339 Stelling
Tract No. _ Lot No. !
CITY OF SAN JOSE BUILDING DEPORYVENT
APPLICATION FOR BUILDING PERMIT D nn
Date_,[/ r / �o , 19 k /O 25-
Permit No.—C�8�2
Application is hereby made for a permit to_!/.¢>r�,
astory, Type—n, - Building, �7 Use Zone_[L/p_- 1/
at / 3 –; 7.[e �(/ Occupancy IT
to be occupied only as Parking Space Z
in accordance with Plans, Specifications an o - an a i ' prinkler—
� i f�. -1" NIOW
Estimated Value of Improvements, $ ✓ •�/ L ->7 iq
Exemption from requirement for Stato of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ t statement filed ❑ ?0
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly'aIuthorizes this application.
1r
San Jose City Business License # . / 5-3 1 L
I certify that in the performance of the work for which thi3 permit is issued I shall not employ any person
in any manner so as fcviolate the woFkmon's compensation laws of California.
Owner '�- Address-LB--
B .. .� ti. AddressIR a CiL N
1339. Stelling Nellie Janovich l
99/8—W01—1 08Z p"�d
' (h.apa� a,� ify
i 9��L yf'uy '>— Z — 0 NS
ewa� 7 97-�1 T ioi{epunoj
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