54048 1143 Yorkshire
Tract No3)l 2)1� Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ' 7- 1 , 1907 Permit No. 4N 0 1 Q
Application is hereb made for a permit to Coi✓ cT .
a story, Type Building Use Zone
at / �r �irr�E xe! Occupancy
to be occupied only as Parking Space
-
'n ere Fire�Sprinkler
in accordance with Plans, Specifications and Plot-plan file.? e0ee
Estimated Value of Improvements, $ Z y�osd�
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑. # Q
Undersigned attests that his State of California Contractor's Liceme
is in full force and effect and properly authorizes this application.
ySan Jose City Business License # —/0J (/IF
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 violate the-workman's compensation laws of California.
C� ' o`�^ Address 1,1'23 S�4t"y
Owner y 6�—
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