94886 1137 ROLLINGDELL COURT MOZ74W 9/SG
Tract No.-6 Lot No.-7
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ��pp�� 7Lr
Date-7— �� 19_7 Permit No.5?-42 �
Application is hereby_Tade for a permit to
story Type�L u0in Use Zone
at7 t�rLL� Occupancy
to be occupied only asParking Space Z.
in accordance with Plans, Specifications and Plot-ple rr.flo,
//�' meEstima+ed Value of Improvemen+s, ; 9I certify that in the performance of the work for which this permit is issued I shell any perlon
in any manner to to late A kme ' compensation laws of Cali Aja. SIL
Ow _ � — ddress/_Z-177
_ _ Address
By—q_906 RECORD OF INSPECTION , �o ab 96
Foundation ��� Frame
J41
Stucco� Finish
N 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 #�7 7.3 4—/d—
is in full force and effect and properly authorizes this application 7 �
p
San Jose City Business License # �
— '/7/�—'� 0� / p 9
/o0 506 41ell I&W -Xrl—AM y
280-601 N