94886 1144 ROLLINGDELL COURT A400511154
C L A400511154 4�`
Tract No.0 Loi No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date_?/4(0 , 19 . (� Permit No.f 44 -
Application is h b made for a permit to
a_L—story T _ g Use Zone
at 4 �.//!/J! - rLL�C7— Use
+o be occupied only asf/Crn � / Parkin Space —Znkler-
--
to
accordance with Plans, Specifications an o an fi'�iO. C� ect.
S� O O d E ; Hect.
Eztima+ed Value of Improvements, f .'l'L.�O
I certify that in the performance of the work for which this permit is issued I shell 0 employ any person
in any manner ao t�o jv'olote the workman's compensation laws of California.
Addres77
gy_ i Address S
RECORD OF INSPECT]
Foundation ra^Ta �/?/D`'
Stucco Finish �i-
` 260-6011
yC,eQ. SGgO Pf��!/7L -�718��G�v
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 authorizes this application.
San Jose City Business License #
Q IzG/7L G7 rr t- '44,4r
280-601 N