50504 7611 Squirewood
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 19 (PC Permit No. -�lO s U Y
Applicatio is hereby made for a permit to /Lcs. '/
a_ —story, Type JE14 1—BuildingA Use Zone /P– I
atOccupancy /
to be occupied y as / It 14 1 i�'01,��� /}Parkin CmMie _�
in accordance with Plans, Specifications and Plo#-pla 1. ares✓#K.
G
Estimated Value of Improvements, $ J-U. �
Exemption from requirement for State of California for Coniractor's License is hereby claimed by undersigned:
as owner K statement filed ❑
Undersigned 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 # `l
I certify that in the performana of the work far which this permit is issued I shall not employ any person
in any mane e- so as t' vio ate t vorl men's compensation laws of California.
t'fJwner Address LL/'
By i Address 4
7611 Squirewood Angelo G. Milazzo
99/5—W01—I o9z wioj
Z SI_Ula 000n4S
0 u Ai�guoifvpunckj
NO11O3dSNI 10 011003b