84881 7467 Heatherwood
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT [�� ��X0/f�
Date 19 Permit No._[!-!->
Application is her* made fora permit to
a_ _story, Ty e_k� Use Zone k^ I
at e /6 x 2"1 Occupancy
to be occupied only as _ F _ Y rk' ace
in accordance with Plans, Specifications and Pl/ - ileddliWiffi. r `er
� II ,, -- (3 6"a Emer. Elac+.,
Estimated Value of Improvements, $�L,
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner o as to violets ih workman's compensation laws of,C/el�7. v /�
Owner � �/aAddress � T b
gy Address �- �Acu
RECORD OF INSPECTION
Foundation Frame
Stucco Finish J G ?
7467 Heatherwood Metzer —jVc
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 #
is in full force and effect and properly authorizes this application
San Jose City Business License #
Form 280-1