54513 7780 -Huntridge
.; Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
.APPLICATION FOR -B7UILDING PERMIT
Date (r_ /5 19 6D / Permit No.
Application is hereby m e for a e. i to F
aJ—stor , Type d Use Zone - - 'G
at - Occupancy �-
to be occupied only as Fire Fire S Space_
,Fire Sprinkler
in accordance with Plans, Specifics ions and Plot•plan filed herewi h.
Estimated Value of Improvements, $ A O�
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.
Owner Address Q U.vTiPo �N
By ✓� i21/=S L Address
R� RD O .INSPECTION
2 4. G 7 D 3
Foundation Frameorcl-
Stucco Finish ""-
7780 Huntridge Crandall
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 # �/?11,7Y
is in full force and effect and properly authorises this a plication.
San Jose City Business License #_ �
Form 280-1 'Rev. 4/67 IOM