55997 1697 Galway
Tract No. 4254 Lot No. 41 402A
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT RR
Date January 16 19 68 Permit No. SS 9 7
Application is hereby made for a permit to ut 1 d
a 2 story, Type V_R sidentia Bu'cfin Use Zone a+ 1697 Galway Dri a �� Occupancy l
to be occupied only as One F m ly �f��L`� Parking Space_
in accordance with Plans, Specifics+' s t( P o - a fi1�E her' K. Fire Sprinkler-
_,c
prinkler
X23,CCO
Estimated Value of Improvements, $
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any manner so as to violate the workmen's compensation laws of California.
Ownr J Hun r & Assoc. Inc. Address 1175 S. HwY 9
Address
19--e-e->-�-iz-{, ORD OF INSPECTION
Foundation (6QS/ Flame /�� — 7 '
Stucco Y— /7�� g lwi�.a-•+a,1 Finish 0 rQ 6 8.1•✓,i�...� _'
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 280-1 Rev. 4/67 IOM