50739 1145 Hollyhead
Tract No. Lot No. '
CITY OF SAN JOSE BUILDING DEPARTMENT
/;J APPLICATION FOR BUILDING PERMIT
Date � z 19-60—(o Permit No. �f
Application is hereby made for a permit to _A96 TO 1
a. story, Type--!Z_2ES Building Use Zone_�L
a{ 2Occupancy /
to be occupied only as "v Parking Space L
in accordance with Plans, Specifications a o -p an eed herewith. Fire Sprinkler
Estimated Value of Improvements,
Exemption from requirement for State of Cal' or r Co is reby claimed by undersigned:
as owner ❑ statement fil
Undersigned attests that his State of California Contractor's License # V U
is in full force and effect and properly auth
or
izes t1' pplic�X 7
San Jose City Business License # /
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California. /
O V A ,
Owner ��'C' � ��"'�/� ^ Address a/
gY1_b?Vta�. —� Address /, ,
1145 Hollyhead Carl Franklin
RECORD INS�PeE�CCT.I-O�N
nFoundaQ ' riF/m
S �(p �
GV
Finish Z
Form 280-1—IOM—5/66