79247 7618 Hollanderry Drive
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT }%
Date 19 7T Permi# No. 7 Lam} 7
Application is herebyor a permit to •�-��r�
a stor Tyke Building ,e� Use Zone
at� czk co_(a�* ¢/Y'� �.� ��'Jv�v Occupancy
to be occupied only as_, JL a ,C', G✓tr AA - � Parking Space
in accordance with Plans, Specification and of-plan fi d herewith.
Fire Sprinkler
Estimated Value of Improvements,
�'� . . . elect.
I certify that in the performance of the work for which this permit is issued I sl II n t employ any person
in any manner so as to violate the workmen's compensation laws of California./ �
Owner ��✓c/ /f '�'.c�J'a i✓ Address ih Jc2le«"
By7�191L� / Addrassr
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
7618 Hollanderry Drive 7 Don Patterson _____
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑
Applicant attesfs that his State of California Contractor's License # /3 ^Z/Z.G /1
is in full force and effect and properly authorizes this application.
San Jose City Business License # Vim/
Form 780-1