58861 F � 87� �fLq Av2. � d3 PooL' ,
L Trecf No. �C53�, lot No.� 'y �
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT � "`�
Da#e � /� , 19_l � P rmi# No. �;� ��l'� G�
Application is hereby�e for a permi+ to ,2���5
a s#ory, Type 6�G Building Use Zone �'�
ai_�7 l� " ' Occupanry �
fo be occupied ony as « � d� � Parking $pace
in accordance with Plans, $pecifications and Plot-plan filed herewith. Fire Sprinkler
I Estimated Value of Improvemen+s, �$,�1�» .
I certify ihe} in }ha parformence of fhe work for whieh 4his parmi} is i:suad I shall no} employ eny person
in any mannar so as f�o,�f ol�efe the workman's compensafion laws of Californie. ,�/
Owner_S � /���.�SOn� Address �73 `i�y A/UG'
gy_tdU�p�,Y cd/c � Address ���CyiLm�r/.v/
� RECORD OF INSPECTIO `"��"��
Foundation�� yb' /�—wFrame � � � _`` ,
$tucw ��Finish �Z-- 2 3- 6 b' `1J.._._:
�
873 Lily Ane. J. E. Thompson ��r�
I Exampfion from raquiramenf for $4afa of California {or Contrector's License is hereby cleimed by applieen#:
es ownar ❑ � , sia}emeni filed ❑ � �
Applican} ettas}s }ha} his Steia af California Con}rec4or's Licansa # ����/��^�
is in full force end effacY and proParly eufhori:e: ihis epplicafion.' ��
' Sen Jose Ci}y Business Lieensa # 7/�— 2��'
�
i Form 280-1 2/68 lOM ' , .