58839-F 7995 Folkestone Dr.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 7 19 g Permit No. Jr8 3 —r
Application is hereby made for a permit to (3f/.l O1� IC-
a�_story, Type Z5/'Building Use Zone 17 - (
at 7095 1=ouc5�an,��' Occupancy J
to be occupied only as Parking Space
in accordance with Plans, Specifications and Plot-plan filed herewith.
Fire Sprinkler —
Estimated Value of Improvements, $ 100
I certify }het in }he pa ormenca of Tha work for which this permit is issued I shall not employ any person
in eny ma ti
sys Iola} a workman's compensaon laws of California. _
s/Owper Address ��� FBS�ONED/L
✓By �j[//2LQ • Address
RECORD OF INSPECTION
Foundation Frame
Stucco Finish9
7995 Folkestone Dr. R. E. Brabener
Exemption from requirement for State of California for Confractor'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 #
Form 2801 Rev. 4/67 IOM