Loading...
69819 7441 Rollingdell Dr. 1 .7 /a s� Tract No. Lot No. CITY OF SAN JOSE BUILDING DEPARTMENT p APPLICATION FOR BUILDING PERMIT Date_L! ' 2- , 19 ?/' Permit No.��L� Application is hereby made for a permit to a,4e a _story, T e_ v Ln g�-�q--Use Zone R_� at7 �Y _ /v(/ Occupancy_ Pa�g Space to be occupied only as _a inin accordance'with Plans, Specifications and P o Efner. Elect. �— Estimated Value of Improvements, $ 1 I certify that in the performance of the work for which this permit is issued I shall not employ any persg in any manner so as to violate the workmen's compensation laws of California. �7 Owner,�y�'/ —GdC AddressyL!/`'�•`� g /�,/ ��� Address / l - y / r // RECORD�OF INSPECTION Foundation \ Ib' 1 �' 9� Frame, ?1 �n�} Stucco Finish 7441 Rollingdell Dr . 7 chaffuner F— Exemption from requirement for State of California for Contractors 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 Business License # r 01" 6 1� q Form 280-1 5/70 IOM