68104 6611 John Drive
Tract No.1aZZ Lot No._l
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �� d
Date 3-10 — W —. 1 Permit No._- 4L/a�
Application is hereby made fora permit to Q� 4 �iQ{r:i, C!'c��2eG
i y.�
a story, Type V /J� • �✓� Q 61"q, Building Use Zone
Occupancy
to
to be occupied only as -Parking Space
in accordance with Plans, Specific tions and Plot-F n filh. Fire Sprinkler
Emer. Elect.
Estimated Value of Improvements,
I certify that in the performance of the work for which }his permi} is i sued I shall not employ any person
in any m- �r//so''as }oiolafe a w rk Ps compensation laws of-California.
Owne�l� 4 Address
By Address
RECORD OF INSPECTION
Foundation Frame
Stucco Finish 4y'
6611 John Drive
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 #
is in full force and effect and properly authorizes this application.
San Jose City Business License #
i.
Form 280-1 5/70 IOM