70882-F 7626 Hollanderry P1 .
Tract No.X99 Lot No.
CITY OF SAN JOSE BUILDING DEPART APA 17
/ APPLICATION FOR BUILDING PERMIT ��
Date 11�4 , 19_G rZ T�eVf No. 70 _)=7
Application is hereby made for a per to 442
a story.,T/ype n Use Zone
at �� '�10�f d_q _ �"� V Occupancy
to be occupied only as Sc r2% frl _Parking Space
in accordance with Plans, Specifics#io loo (�itSprinkler
t-F' *#�a�O"^� TEmer. Elect. --
Estimated Value of Improvements, $�-M
I certify that in the performance of the work for which this permit is issued 1 shall not employ any person
in any manner so a,/ss t�o,�violate the workmen's compensation laws of California.
Owne,1 02 �
By 9/ Z! 1VE791t-7y'�Address
RECORD OF INSPECTION
Fo ndation Frame
Stucco Finish /242--71
7626 Hollanderry P1 . 9 D . Kelly
T
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 # A" f 7
is in.full force and effect and properly authori'zes/this applica}ion/. _
San Jose City Business License # �! L —' b s✓
Form 280-1