55997 1661 Galway 402B
Tract No. 4254 Lot No. 38
CITY OF SAN JOSE BUILDING DEPARTMENT,,
APPLICATION FOR BUILDING PERMIT p p
Date January 16 Ig 68 Permit No. SS JJ�
Application is hereby made for a permit to Build
a 2 storype V- esidential /K/ Use Zone
at Y�3N 1661 Gal Occupancy
to be occupied only as One anvil /�� Parking Space_
in accordance with Plans, Specificati n Ploti �6d'h Fire Sprinkler
X23,000 .
Estimated Value of Improvements, $
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner unEe & Assoc. Inc. Address 1175 So. Hwy 9, San Jose
B m�/����/1/�,.'�//�i� Addr_qss 15-j.�, i+-ti �-Y��if�✓iv.
y RECORD OF INSPECTION
Foundation-?,-/7-� 1 A4, ASLr Fram 41-l L-� bJ A�ft��J d-r
Stucco- /�- -C t Finish_J
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 # B-1 193961
is in full force and effect and properly authorizes this application.
San Jose City Business License # 4-1051+8
Form 280-1 Rev. 4/67 IOM