NO PERMIT NUMBER (2) V530 Waterford 9
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT let'f � `�.
Date — /3 , 146 Perf i+ No.
Application is hereby made for a permit to aua 2 "'l
a__story, Type ._ Building Use Zone
at 7 Sia /i /v Occupancy
to be occupied only as Oarking Space L
Fire Sprinkler
in accordance with Plans, Specifications a d Plot-plan filed hherrewithi
Estimated Value of Improvements, $ QDOo
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed Cl
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly tauutthorizes this application.
San Jose City Business License # T S^yf�— '
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 yiolate the workmen's compensation laws of California. _.
Owne Address
By {� Address4 12
7530 Waterford H. G. Wolf
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