83798F 898 Hyde Avenue
Tract No.l2�3 3 Lot No. 2
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLyICATION FOR BUILDING PERMIT �
Date /C /;_6 , 19 77' Permit No.� —
7�
Application is hereby made for a permit to 13 0/z_1)
a 'i"oo I story, Type Bu' in Use Zone
at S+ nn r✓i riq Pn0 —�/j' f e Occupancy
to be occupied only as / Parking Space
in accordance with Plans, Specifications 4 plar(fi(e�1s� Is!in
00
Emer. Elect.
-
Estimated Value of Improvements, $
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 - I Address E`1 t B
By��_ r oo Address
(�
RECORD OF INSPECTION
Foundation
-74' a21i l- � Frame
Stucco Finish
S M1
Exemption from requirement for State of California for Contractor's License is hereby claimed by epplicanIf:—
as owner ❑ statement filed ❑
Applicant affesfs that his State of California Contractor's License #?83?30
is in full force and effect and properly authorizes this application.
San Jose City Business License #
Form 280-I