Loading...
52969 (2) 1140 Elmsford L Tract No. 3/ Z Lot No. .? _ u` CITY OF SAN JOSE BUILDING DEPARTMENT y,/ APPLICATION FOR BUILDING PERMIT -$2V4 c , & Date � 6 , 19 ` 7 Permit No. ,5"12- Application is hereb made f0-aefo) a story, Typetil Use Zone a} CIM S Fv>W0 (� {� Occupancy 7r to be occupied only as "_& Fr4i�•}• IPLb�-� l�l��/ king Space Z in accordance with Plans, Specifications and Plot plan fi ed herrewit (Fire Sprinkler Estimated Value of Improvements, $�N�000 • IgG -rib Exemption from requirement for State of California for Contractor's License is hereby claimedbyundersigned: as owner ❑ statement filed ❑ 3. G/ Undersigned attests that his State of California Contractor's License is in full force and effect and properly authorizes lh application. San Jose City Business License # Lf IOSy d I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to violate the workmen's compensation laws of California. Owner R.T.an6� Oer/C �Vw$ f !tEA&g ..�n/�. Address /I;.!`•S. Hwy. B�.:r Address rte-_ Y _ 99/9—No$—DOBE wjoj 000n{S aogvpuno j N01103dSN1 40 480038