64708 7733 Oak Meadow Ct.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT /
Date �4`2 - , 19 7U P rmi# No.
Application is hereby-nade for a permit #o
a story, ype B Iding 6� Use Zone
at Occupancy _
P ��/�/��arking Space
to be occupied only as /
FireoSprinkler
in accordance with Plans, Specification andrPlot= laenni fled'herewith. 10�
Estimated Value of Improvements, $
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 ask to violate Flyw i n's compensation laws of liforni
{ A
Owner_ Address U
By� dress
RECORD F INSPECTION
Foundation y Z..m-.70 f1 ", Frame
Stucco Finish /-7
— Z- —70��/�"�
� ��� Oak Meaoow Ct. Lifetime Pools ��
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑ n /
Applicant attests that his State of California Contractor's License #
is in full force and effect and properly authorji a this ap lieation.
San Jose City Business License # t�lc� �
Form leo-1