131 1.190 Ruppell P1 .
'Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date Permit No.4,;4�/3�
Application is hereby made for a permit to
a r stor ype __ B 'din Zone
/ Occupancy pancy
to be occupie only as( v _ Parking y Space-
in
acein accordance with Plans. Specifications and Plot-plan (ere `
Emer. ect.
Estimated Value of Improvements, $
I certify the+ in the performance of the work for which this permit is issued I shall not employ any per n
in any mar so,as o v'Slate th workmen's compensation laws of California.
Owner - Address J
B e. Address
RE RD OF INSPECTION
Foundation Frame
Stucco Finish
"260-601N
r"
1190 Ruppell P1 .
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 # 'i
250-601 N