76988-F 7535 Hollanderry Place f >
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMM�_P¢TCc
APPLICATION FOR BUILDING PERMIT /���l�i v
Date 5—/y— 19_ 3 )permit No.
Ap lication is hereby made for a permit to
a _story, Ty TN Building -' -Q Use Zone
a} s ` 5 ' H / i Occupancy_ -__r
to be occupied only as /' '� V Parking Space —
in accordance with Plans, Specif' ations and Plot-plan filed herewith. Fire Sprinkler
� �E �lec10
Estimated Value of Improvements, $ �J1�"
I codify that in The performance of the w r h is mi i iss• srT4d I o} employ any person
in any mann so as to.,violate Iha rkmen' com malion aws of Coliform✓ae. / /�
Owner /'� Address /�'!i(G�r
By_ _ _ Address
�P RECORD OF INSPECTION
undation Frame
Stucco Finishp
7535 Hollanderry Place / K. Amundson
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 # l7
is in full force and effect and properly authorix this ap/plicafioV
San Jose City Business License # —Q V J a'
Form 280-1