52354-F (2) 903 Stelling
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 7 �e 19 Permit No. S 2
App cation is hereby made for a permit to /3'uiL/ ` / '
a story, Type PaoL _ Buildings Use Zone � .
at 903 S EL /(/T/ Occupancy Z'
to be occupied only as qy- �2 n Parking Space
in accordance with Plans, Specifications and Plot d hey�,� it,�C5�,�'ink er
$ .3'
/Ver 7311
Estimated Value of improvements, y G G
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 # / �S—j .3 �3
is in full force and effect and properly authorizes this !ap/plication.
San Jose City Business License #�(' 9 7 O
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�rviolate the workmen's compensation laws of California.
Owner G � /wj A Address 9D3 ��LLIG i�!l d PO
By 2-2? .a Address
S3 3`/PJ• 7 A 7
903Stelling h. Flohrp
99/5-W01-I.00Z W�Od
r
ewe 'n uoi}npypp�
NOIl 30 dSNI 10 MOM