93379 7895 Fiesta Lane
Tract No.4 —/
of No. /
CITY OF SAN JOSE t BUILDING DEPART�NT,Q
APPLICATION FOR BUILDING PERMIT v`
Date , 19 Permit No.
Application is hereby made for a permit to
a story, Type 159Aj _ Use Zone
at 7 yEl Occupancy
to be occupied only az t o ` Parking Space
in accordance with Plans, Specificatio W. end Plo . nft1a rewi+h. Fire Sprinkler
/ Emer. Elect.
Estimated Value of Improvements, $�2o0
I certify that in the performance of the work for which this permit is issued I shall nal employ any person
in any manner so as//to violate the workmen's compensation laws of California.
Ownerlt'.
f.. ZO f>E2S Address 7o YS EI:q 4,4,. E
By 42,y1i 144- �Oo�S Address {Faro EEL �/1iNi� o PE4t
RECORD OF INSPECTION S�✓u.
Founda+ionZ//76 4/1ca t Frame
Stucco - Finish 7 G 7 416-
260s,011N�
Exemption from requirement for State of California for Contractor's License is hereby claimeby-appliI -:1�1.,
as owner ❑ statement filed3'Mns.=;°ALX,x;
Applicant attests that his State of California Contractor's License # Z09'7-9U /
is in full force and effect and properly authorizes this application.
San Jose City Business License # eg
280-601 N