55997 1685 Galway
2200
Tract No. 4254 ""' Lot No. 40
CITY OF SAN JOSE BUILDING DEPARTMENT,
APPLICATION FOR BUILDING PERMIT pp R
v 12
Date January 16 19 68 Permit No.SSJ�7
Application is hereby made for a permit to Build y� /
a 1 story, Type V- sidential 'lId�ing/ Use Zone
at 1685 Galway Dri Occupancy j
to be occupied only as One Family Parking Space
0
KI4 e Sprinkler
in accordance with Plans, Specifics+ z e�lo 44 e
Estimated Value of Improvements, $ 29.04)0 d1f 606
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.
11
Owner-.,�•J me & Assoc., Inc. Address 1175 S• Htwy 9, S n Jose
— _ Addres
"^! RECORD OF INSPECTION
Foundation Z— 'Z- Frame
Finish
Stucco y—
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 # 4-10548
Form 280-I Rev.',4/67, IOM