84952 7505 Heatherwood )/ �}
Tract NoJ/ 0--3 Lot No. 5 �'
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITn'
Date /7 , 19 Permit No.h�y 912
Application is herd made for a permit #o
a_�story, Type 'Idi Use Zone L
a4 O S Occupancy
to be occupied only es,/ f C�6 1 2 F�M Rfi, Parking Space
in accordance with Plans, Specifics#io a of-pf' r Fjre Sprinkler
-
in Emer. Elec#.
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
m any m nner o as violate fha workmen's compensation laws of California.
Owner Address
B Address
�RE/CCOORRD' OF INSPECTION L`X 7• t w oo D '/•
Foundation /' ✓ �� / " —//"�I ')� Q� �{
Stucco Finish fo /�✓`�
7909 Heatherwood John Humer �k
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