62789 7533 Heatherwood
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
(� APPLICATION FOR BUILDING PERMIT �
Data ( — {C9/ , 19 6 /pPermit No.�fJ
'
Application ishereb made for a permit toJn/J
a—/story, Type .n_�Ijldi g Use Zone
at Occupancy
to be occupied only as - '� /3 r'Y BE,� f2., Parking Space
rr.c 7 /� fire Sprinkler
in accordance wit h Plans, Specifics+io s lot e t ..
Estimated Value of improvements, 6 6 O .
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.
O r /_/-}_P/ Address
� �— Address
RECORD OF INSPECTION
Foundation /- 4o Fra 1 V- 1S 4- 9
Stucco ane // /,9 G 9 Gvr,B
7533 Heatherwood 9 Priapi f
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