2901 7830 MC CLELVAN 'ROA1)
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ""&
Date Is–_, _, 19_7__ __._ Pgrmi# NoA�4&./ _
Application is here b made for a permit to Loo _
n
a_/ story, T pe IC-.�_, /nl Building 4u_Use Zone '
at_UK3, 7 r Occupancy 2_
to be occupied o Parking Space
in accordance with Plans, ecifications and Plot-plan fil�#h. Fire Sprinkler
-
in
Emer. Elect.
Estimated Value of Improvem
I certify that in the performance 6rk for v c f s p rm is I shall not employ any person
in any me,nen r so as }o late th workman's compensation laws of �C; i{ornia.
Owner /%yz • –r+a a–n' Address 9, 2 &C=,
By _ Address
COR OF INSPECTION
Foundation — Frame g:2S--,� 5Ar1DA1/.9L
S#ucco Finish
` 2X 601N
,,
7830 MC CLELLAN i,
t.ROAD /
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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