61736 7728 teak Meadow court -
Tract No._4566 Lot No.-9—
CITY OF. SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafey ZD - 19 69 Permit No.
Application is hereby made.for a .permit,to build
a�it story, Type V�Res" - wl m _Use Zone
at— 728 Oak Meadow Court, So V7 Occupancy
to be occupied only as one fafdly dwelling Parking Space
Fire Sprinkler
in accordance with Plans, Specificatiorrs+a ,,,,lo,,t,,-,p�la fi d herewi _
Estimated Value of Improvements,$ �wu.00
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner Pacific Shore Properties Address 12098 Via Roncole, Saratoga
By_f��� Address
ME�►aan.-E 6 //-CTa UCORD OF INSPECTION
Foundation 2 ' S �
Stucco Finish 2
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 # 224506
is in full fgrce and effect and properly authorizes this application.
San Jose City llusineis License # 49-15959
= � SlC)
Form 280-1