96310 884 NERNGROVE DRIVE
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
PPLICATION FOR BUILDING PERMIT
Date_ 1926 Permit No n
Applicati is hereb ma for a permit to
a_/story, Ty p 'ng Us one
at _ Occupancy
to be occupied only aVin
in accordance with Plans, Specificafio and Plot-plan f61ed herewith. Firk er.
Emer. Elect.
Estimated Value of Improvements, f
2 Zip ZZ�
I certify that in the performance of the work for which this permit is issued I shell not employ any person
in any manner sq es to viol fe The workmen's compensation laws of California.
Ow er, Address 4 /'e JILG:
By Address D/2/?e Ai&F- .T.S.
/ n R O,y tD OF INSPECTI N
. Foundationxyy L f Frame
Stucco n Finish l —.
884 FERNGROVE DRIVE T. CINTOLO 260-601N
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 #
is in full force and effect and properly authorizes this application.
San Jose City Business License #
280-601 N