77686-F 1673, Galway Dr.
Tract No.—%2 SV Lot No. 39
CITY OF SAN JOSE BUILDING DEPARTAA€ryT�q_
APPLICATION FOR BUILDING PERMIT �/�'G�.�, U
Date—,pip , 19 73 � Permit No. ��60_—!
Application is hereby made for a permit "ice"may,-..�-
a — stor ,, Txpe B ' in •Use
at-1—b— Occupancy
to be occupied only as _ _ arking Space
e Sprinkler
in accordance with Plans, Specifications n I r Emer. Elect.
Estimated Value of Improvements, $_ @D
I certify that in the performance of the work for which this permit is issued I shell not employ any person
in any manner ss�o• as to vi° Te the orkmon's compensation laws of California.
Owner_f(/aJ(A,VV—W- —r— Address �� 3—G �n n
By`— Address 3uT!7X
0 ECORD OF INSPECTION
Foundation " 7 Frame
Stucco Finish
1673 Galway Dr. Walter Wood
Exemption from requirement for State of Californiaf/o�r Contractor's License is hereby claimed by applicant:
rs
as owner ❑ statement filed F4
Applicant attests that his State of California Contractor's License #
is in full force and effect and properly auth . es This application.
San Jose City Business License #�.I=0_ �!
i
Form 280.1