96229 1136 ELMSFORD DRIVE
Tract No. Lot No.
CITY OF SANJOSE BUILDING DEPART
APPLICATION FOR BUILDING PERMIT
.
Date 1197,4 Permit No.
Application is hereb mad for a permit to
a /story, T _ Building 4UseneWj
atL/ _ Occupancy !
to be occupied only a Parking Space
Fire Sprinkler
in accordance with Plans, Speci ications an Plot-plan filed herewiith mar. Elect.
Estimated Value of Improvements, $
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
in any manner to as to violate the workmen's compensation laws of California. f
Owner T � Zirr Address 1131 tZI//.QJ NJ O c;A
By /N. v� �jxi/�llt, r. Address 1
ECORD OF INSPECTION
Foundation / Frame
Stucco /! Finish _
1136 ELMSFORD DRIVE J.C. ZISS 260-601N
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicenti
as owner ❑ statement filed ❑ ///� //
Applicant attests that his State of California Contractor's License # ( 7 Z 6 7(/
is in full force and effect and properly authorizes this application.
San Jose City Business License #— •`Fb QO Z $ /
280-601 N