NO PERMIT NUMBER FIESTA LANE
Exemption from requirement for State of California Contractor's License is hereby claimedby'ecaCcant:,
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 #
288-601 N
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date , l9 ___ Permit No.
Application is hereby made for a permit to
a story, Type ____ Building _ Use Zone
at Occupancy
to be occupied only as Parking Space
in'accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler.
Emer. Elect.
Estimated Value of Improvements, § .
I certify that in the performance of the work for which this permit is issued I shall nor employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner Address
By Address
RECORD OF INSPECTION
Foundation Frame
Stucco Finish -
J�*a`260-601N '
a