54048 1145 Yorkshire
Tract No..3/2 4� Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
// APPLICATION FOR BUILDING PERMIT�� Qg �twna
Date lr% , 19 G? Permit No.
Application is hereby made for a permit to i✓��" ��-�
a__story, Type �� BuildingA, Use Zone
at // y ru M(f Occupancy
to be occupied only as "WrR^^ Parking Space
in accordance with Plans, Specifications and Plot-plan filed he�h!�F:-We nkler
Estimated Value of Improvements, $ 5W, yeL"
Exemption from requirement for State of California for Contractor's License is hereby claimud 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 this application.
San Jose City Business License #---I--�d3 f< � '
I certify that in the performance of the work for which this permit is issued I shall not employ any person
iiola a Oho workmen's compensation laws of California.
n any manner so as to v
Our �' (, t axxC- Address
By Gs
Address�l•=- �Y'�
99/5—W01-1-08Z w,cj
' 1
sb Loi
000n}S
V ' jd uoilopunoj
9
N01133dSNI dO aa003V