60099 7610 Hollanderry
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT tiQ e
Date , 19,-. !`% Permit No.IPOg�
Application is hereby made for a permit foA/./ /742
a—/—story, Type � ildin Use Zone
'
at_ZOccupancy 1
to be occupied only as �9 �s/G i?de,Ws�-F,i�r Py,Parking Space z
in accordance with Plans, ecifica i Fire Sprinkler
rand PI .
Estimated Value of Improveme s, f�'''�7�
I certify that in the performance of the worl for which this permit is issued I shall not employ y person
in eny manner so s to violate ra work... .. comps nsafion laws of California.
Owner Address 7 U
gy_ os Address f / 7 l_..
QR�jECORD OF INSPECTION
Foundation �' '6 L 4440 Frame�
Stucco
finish�' � 'A
7610 Hollanderry 9 N. Handy
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑
Applicant aftests that his State of California Contractor's License # / �y
is in full force and effect and properly quth i:ez this application
San Jose City Business License # �If /�i�' C / 9
Form 280-1