53549 7995 Folkstone il4v G
Tract No. 31 IL'G Lot No. G J
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT p
Date S_— ;� 3 , 190Z / Permit No. S3 S1/
Application is hereb made for a permit to c�NSS7P✓C.T • /
a story, Type Building Use Zone
at .S-• FO ),r a Occupancy �—
to be occupied only as Parking Space
in accordance with Plans, Specific s n and Plot- I /II dl ew'tls. Fire Sprinkler
Estimated Value of Improvemr,ntb
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑ /�
Undersigned attests that his State of California Contractor's License # V
is in full force and effect and properly authorixos thisyapplicafion.
San Jose City Business LicensevJ �O
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in arye r so as to�°lafo re workmen's c/o{`�pensation laws of California. ,j
Own r SwIK�� Cv?. 9+,"/��.Address /J,S `r' l�bir 7�•(/4ai •
By -.ar¢ k. Address �Gto•�•«J�a"/
RECORD OF INSPECTION /
LFoundation G S,6 t�(t� Frame 6 '�a ��d"-0�ovc—nJ
sfuaao finish / d -/L •G , .p
416-A/ 6"7-I 6 7 Adk
Form 2801—I OM—5/66