529841130 Yorkshire Tract No. 3 /Z G Lot Nos`a
CITY OF SAN JOSE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 3 _2 7 , 194-7 � 'Permit No.,' -Z
Application is hereby m de for a permit to �/.�U t D
a 2' story, Type Building D UseZone_�� _6
at 1130 • Occupancy
to be occupied only as F rya Parking Space 2_
in accordance with Plans, Specifications and Plot-pla /5� he�eWithQl/F✓e6Pmkler
Estimated Value of Improvements, $ �Yj GJD
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 # I
is in full force and effect and properly authorizes this application.
San Jos. City Business License # y _1 oxy S
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any me ner so as to violate th workmen's cgmpensation laws of Californ'.��� , ` VT
Owner Address /f r
ey',� A
V
ddress, --� ��4 '
99/5 — W01 — POBZ °"°d
omg O
" c 9—P -S' -:;)S A V0'4s 4S'/
dy: u!a 000n+s
weid uojjvpunoj7
N01103dSN1 d0 Cb003H