948861105 ROLLINODELLCOURT
V
Tract No.176 `'Lot No.
CITY OF SAN JOSE \ BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 2—Lr
1976 Permit No.q_Q_L49t6�-—
Aplication is her a e fo a er it to
a _ story, Ty _ ui Use Zone
at �� •' ,!C-G� _% �Z> /gyp /��ccy _l
to be occupied only es �� Fire SpFire
Sp rinkler
pace �.
in accordance with Plans, Specifications and Plot -plan filed herewith.
Emelect.
Estimated Value of Improvements, ; 4dA� 0 O_. 20g2
I certify that in the performance of the work for which this permit is issued 1 shall fortemploy any perj_
in any manner so- as to ' ate the w rkmen's compensation laws of Celifa Q I/
Owne .� _ ddress i77'7 /�✓•air
By— Address r
l EC RD OF INSPECTION 14 FIN -
Foundatio Frame
Stucco Finish 1 �s
01 260-601N
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 C
is in full force and effect and properly authorixi
San Jose City Busines LL* anso
El
ractor'r_ License # 77 77 O / J 7
zG �4s��vL�/.�CQ1-IDS
280-601 N