540481141 Yorkshire 3
Tract No3r 2 Lot No. �d 0
CITY OF SAN JOSE BUILDIN DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date C — L / , I9 � 7 Permit No. S o
Application is hereby made.for a permit to Gor✓ s r�dG
a y story, Type Building Use Zone
at �/ f`i ort KSCr �e >;a Occupancy
to be occupied only as /4 Parking Space
in accordance with Plans, Specifications and Plohplla�filed�e e ith�IF�t� Sprinkler
Estimated Value of Improvements,
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 #
is in full force and effect and properly authorizes thi pplication.
San Jose City Business License
#
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 violet the orkmen's compensation laws of Californi
Address / �r�= w
By'J?ir . 2C`e. V-/'" Address
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