2569 7623 ElderwoodTIS CCTractNr���� No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION �j�ILDING PERMIT -
Date �''+��► 19 / _ Permit
Application is hereby made for a permit to
_-nl s+o Type _ "ui ` Use Zen '_v—
atC[lJla l ei� Oecu
t) to be occupied only as Parkin Spat
in accordance with Plans, Specificafions -pla e
Emer. Elacf.
Estimated Value of.Improvements, �eQI�,
I certify that in the performance of fho ork f which ihis permit is issued I shall not employ any person
in eny me or so as to late the w rkman's compansa�Spn aws of Caliiorni .
Owner
By 1�IN
R RD OF SPECTION
Foundation Frame
Stucco Finish
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑
Applicant attests that his State of California Contractor's License # k n p
is in full force and effect and properly authorizes this applicatioy_
San Jose City Business License
1
� 33
S 2f0-601 N