94886 1115 ROLLINGDELL COURT5N,.-4)
/Ir(Ot!'iCL 3/t¢
Tract No. %A66 Lot No. /D
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO BUILDING PERMIT CC 7.-Z,
Date_? 9-d19.70 Permit No.C� �l
Application is hereb,ma a for a permit to
a story, Type �- �'S _ _ uil Use Zone /
Occupancy
to be occupied only a ` S Parking Space�—
in accordance with Plans, Specifications an Ian inkier
mer. Oct.-
Estimated Value of Improvements, ;_ _ ,_QP_U. .20.7I certify that in the performance of the work for which this permit is issued 1 shall a employ any person
in any manned so.as to y) data th en's compensation laws of Califo ia.
0 Address/777
g _ Address
Y
/o�,�ji RECORD OF INSPECTIO411,1f- 1
G
Foundationio�p Frame
Stucco Finish
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 Contractor's License #
is in full force and effect and properly authorises this application.
San Jose City Busi ess License # Q g
280-601 N