529841134 Yorkshire. 3`a�
Tract No. 3/ ZG Lot No.
CITY OF SAN JOSE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ?`�7 , 1967 Permit No. j2Q_8��r✓✓
Application is hereby made for a permit to aJ r 4
a�story, Type -7 Building Use Zone_?./8_6
at 3 me Occupancy_,
to be occupied only as Parking Space -2_
( Fire Sprinkler
in accordance with Plans, Specifications and Plot -plan filed herewjtfh%.�
Estimated Value of Improvements, $ 24''"PC
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ n_
Undersigned attests that his State of California Contractor's License #13- 7
is in full force and effect and properly authorizes this application.
San Jose City Business License # it —/O.i �is
I certify that in the performance of fhe work for which this permit is issued I shall not employ any person
in any manner so as io viol to fl a workman's c pensefion laws of Californ�`
Ow r 2 'Address
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