81540 F 1497 Jamestown Drive
Tract No. 70/ Lot No. 3`7
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT y _�
Date 1� 19—�7' Permit No.- -LE
5 h
Applicafton is hereby mad fora r '# to
a r story, Type i Use Zone
a# l A-'y- � .m.L_'1 O.ls.CY{ ^ Occupancy
to be occupied only as A� a g Space
z . �/�
ire Sprinkler
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in accordance with Plans, Specifications and Plot-plan filed herewith. mer. Elect.
Estimated Value of Improvements, $ 33010
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any man�ne"r so s to violate' ha workmen's compensation laws of California. y
Owner �llL. �f.��11LY1 _t.L, Address 9 lJad •�i�'-'-J�1 '�;
� ddress
RGE(C�ORD OF INSPECTION
Foundation G �S– 7`f' ? � Frame
Stucco Finish 6– 2 Q ' 2 /�
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed fwt�
Applicant attests that his State of California Contractor's License #
is in full force and effect and properly th' z this application.
San Jose City Business License # =elo 9l'
Form 280-1