67900 6790 John Dr . _qqqq
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 9G
Date . -2-L , 19 7K Permit No.l 7lfi9d
Application is hereby made for a permit to Al/ .*
a_ story, Typed - Biil ing Use Zone 0-/
at /7y/ Occupancy i
to be occupied only as Z E-Fy - �/'✓�/ /s«trC'htr Parking Space �—
in accordance with Plans, Specifications and Plo}- ledhe with. Fire Sprinkler
Estimated Value of Improvements, $ —o /Ifx ;ef
I certify that in the performance of the work for which this permit is issued I shall not employ any person
,)Ian�Y'^�yn�nar so as } iolefe the workman' om ansa}ion lows of Celif.rni er dress40/
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By ddres67
s
� ee RECORD OF INSPECTION (,{({
Foundation If F me 5 __c�
Stucco Finish t � (-?%
6790 John Dr. Lawrence Roben
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 #
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