54342 1169 Yorkshire / /
Tract No. 3/ 2 K Lot No. Z7//O
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITC.
Date , 1962 Permit No.
Application is hereby made for a permit to 5 al /9 pp /� /�
a�'�_story, Type Building Use Zone.fa_ S-
of // 9 �, �_: pN I Occupancy_
to be occupied only as / - L-//�2/S_� /\ 12 5 %aR e, Parking Space
in accordance with Plans, Specifications and Plo# lan•filed herewith, Fire Sprinkler
Estimated Value of Improvements, $_.'L.2/_o'o c7
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner IRI� statement filed ❑
Undersigned attests that his State of California Contractor's License # nz'/ — j
is in full force and effect and properly authorizes this application.
/ sY�
San JCity Business License #�/i
I certify
4hai in the performance of the work for which this permit is issued I shall not employ any parson
in any manner so as to violate the workman's compensation laws of California. /
Owner J.�U r c_ n/f Address /175y y wA'L t S. `T.
By
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