69013 7741 Oak Meadow
Ct. ``
Tract No. �/ Lot No.�// �� ,��
CITY OF SAN JOSEBUILDING DEPARTMENT
_ APPLICATION FOR BUILDING PERMIT G ZZ9
Date 5' 2� / , 19 Permit No.
Applic tion is l4i by mad fo a permit to - /C A
a —story, Type G. ' Building/ Use Zone
a# 7-7%/ Occupancy
to be occupied only as - a L Parking Space
? ! t�R 71 ,rArrFire Sprinkler
in accordance with Plans, Specifications andJP.lot-plan ��th�rewith. � Elect.
� i�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
inany mann/a�' as�t°�' ��
�ioleto the workman's compensation laws of California.
Owner !/C - '�� Address /- W rn� �Zn � �>
By y////�7 Address -2r-?5 a// - 7G
RECORD OF INSPECTION
Foundation G"tsr� Frame ?
Stucco Finish 7� �•� '` ��'
7741 Oak Meadow Ct. R. Browning �G
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-effecf and properly authorizes this application.
San Jose City Business License
P- 39.6
e
.Form 280-1 5/70 IOM