62754 7524 Hollanderry rlace
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITC.
Dafe 9 —1G-' Permit�9 No. Z._/—S—/' •�—
Application is hereby made for a permit fo_ _:r4--
a_/story, Type _ _ B ijdi g Use Zone
Occupancy
to be occupied only as� Parking Space L
` °'f'�—�7 t"3�,GFi/Q,iS prinkler
in accordance with Plans, Specificat' n i�'-lof-pl flg�J w1 ^ /C
Estimated Value of Improvement , $ C
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any mann` so ;s—}o yiolafe orkmen's compensation laws of California.
-/07 Address -')t G yr fT I;5
/R�ECO� RSD OF INSPECTION
Foundation—/ r 2 rzf �'-- Frame --I
Stucco Finish I — 2-
7524
7524 Hollanderry Place 9 Flavler E+
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 Confracfor's License # / Z) ` U
is in full force and effect and properly authorizes this appuff'°n
San Jose City Business License #
Form 280-1