95065 7608 PEACH BLOSSOM DR
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
0Q APPLICATION FOR BUILDING PERMIT 7'L-.1
Date? 2197G Permit No.�SO�S�
Application is hereby made for a,�peerrmmiitt to 4,0151
51 941a
a_Lstory. Type _ fe!Y!_t'tBuild l Use Zone
at Occupancy —
to be occupied only es — j Perking Space Z
/ Fire Sprinkler
in accordance with Plans, Specifications and Plot-�fhisperif
rewith.
Emer. Elect.
Estimated Value of Improvements, $��
1 certify that in the performance of the work or whis issued I shell not employ any person
in any manner so as to violate the workman's compensation laws of Celiior'7ie.
Owner I/_1 i'T�SHQ Address x0/r�
By Address ,4- s7 D,0 r v z 6z
<�/ RECORD
VAN
Foundation� - Frame�
Stucco Finish
t�456Q2 -6o76nA PEACH RLllccnm no P
Exemption from requirement for State of California for Contractors License is hereby claimed by applicants
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 # — ;—r) Z
280-601 N