1795 754o HEATHERWOOD DRIVE
Trail No. Z (/83 Lot No. Co3
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT f f9S
Date /y , 1977 Permit No._1�2 �f
Application is hereby mad or a permit +o
a_¢J story, Type --=&-A k �(-9—�Use Zone
at '75'10 414 . Y / l ���/(/ Occupancy
to be occupied only as �,-::12 Parking Space
in accordance with Plans, $pecificatiBPlof-��n d ��#f�/FSprinkler
-
7V
ire V /,C re S Elect.
Estimated Value of Improvemen+s,
I certify that in the performance of the work for which this permit is issued 1 shall not employ any parson
in any manner so as to violate the workman's compensation laws of California.
Owner_$/r-saA., S Address 77O j4/,ffA714EIZLJ00D OIL,
By lZe¢tt r.� C Address r-7- 36
���INSPECTION
Founda ion3—�0�7� FFr�ry9ame ,J�//��,.',',A_ LL / - /
Stucco /Fifiish S'/ �'�� /y'�' 1�.1iL�
G-2-77 57A 260-601N
C,6-r4s ,uo7 .SFcFcGcS�wc, :r
Exemption from requirement for State of California for Contractor's License is here dW'xel 6'y-applican'
as owner ❑ statement filed ❑
Applicant attests that his State of California Contractor's License # $Q 5"?-
is in full force and effect and properly authorizes this application.
San Jose City Business License # y 7 — I:Z /S O C/
'�/lvhcc/y10
280-601 N
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280-671
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G� 280-671
10
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE