91145 7573 Hollanderry Place
Tract No. Lot No. UBC 9973
CITY OF SAN JOSE BUILDING DEPARTMENT
\
APPLICATION FOR BUILDING PERMIT /
Date J/FLG�lBC+2 L, 19_/�? Permit No.7���s1.�
Application is hereby mad f r a i t "%��Y"
a—/—story, Type _ — _� 1 se Zone
at_�7�_%4,L yll SE/2�� Occupancy
to be occupied only as�Abl. rki pace
Fir Sprinkler
in accordance with Plans, Specifications and Plot-plan filed herewith. Emer. Elect.
�3oU p O
Estimated Value of Improvements, $_/
I certify that in the perfor gqnce of the work for which this permit is issued I shall not employ any person
in any man or so as to vi at 6 the workman's ompensation laws of California. __ �//
Owner Address Z1���y4e accm- r�
By Address d2K aOz�� /
RECO D OF INSPECTION
Foundation _z y Frame s;'
Stucco4— Finish r -
z 260-601N
7 797'3 Unl l andcsvry P1 aCP John Sauth
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑ 7
Applicant attests that his State of California Contractor's License #
is in full force and effect and properly authorizes this apllica}ion.
San Jose City Business License #
23o-6oi ;v