51275L 7551 Squirewood
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
�/ APPLICATION F R BUILDING PERMIT
Date / ' /,319 Permit No. '.�/ Z %,�
Application is hereby made for a permit to 4 n b T
a / story, Type _14— s-( /V(J Use Zone
at -75 f e%_DU) fL — l/irl40 YDSZ Occupancy
to be occupied only as /(o'? i_ Pare 7L
in accordance with Plans, Specifications and P� - aNi�fi eg ler
Estimated Value of Improvements, $
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ I statement filed ❑
Undersigned attests that his State of California Contractor's License # A/,o
is in full force and effect and properly authorizes this application.
San Jose City Business License
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in anymanner so as to violate the workmen's compensation laws of Cali rni.. .
Owner �' �Gr% v1fS'T Address
�I�
ice'
7551 Squirewood R.
99/5 — WOI — I On w,oj
1 AM
N01103dSNI d0 00031