7703 I /J
870 Ferngrove Dr. , -7-�y
Tract No. Lot No.
CITY OF SAN JOSE //G �v c, ZeL BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT /
Date _ -5— 19-71__ Permit No.
Application is hereby mad for a permit to
e_/_stor T pe 4r12_e`d uilding Use Zone l
at Occupancy r
kiito be occupied only as ( ` a' a Space
in accordance with Plans, Specifications d Plo#-p an rle her Fire SprinEmer. Elect.kler
Estimated Value of Improvemen#s, f/ 6 _ '
I certify That in the performance of The work for which this permit is issued I shall not employ any person
in any mann r so s to i6late f e workmen's compensation laws of California.
Owner C Gil- Address O 7U TG/�7�irr✓.t. �i
Address i
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
260-6014
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner X statement filed ❑
Applicant attests that his State of California Contractor's License #
is in full force and effect and properly authorizes this application.
San Jose City Business License #
14e,
280-601 N