50848 706 Stendhal
Tract No. Lot No.
CITY-OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
a
Date _2 , 19ZC Perm
Application is hereby made for a permit to_G�r.s,r�/�'
a_�siory, Tye Q �¢.� Buuiildiinn yT�/� Use Zone_L2-/-)y(
mat 'O C jJ ^r�:M�%I�7 ��`� Occupancy
to be occupied only as / E�. ,�' P rkin �
in accordance with Plan., Specifications and Plot-plan fii wit, .
Estimated Valu- of Improvements, $ 3�iD000 -
Exemption from requirement for State of California for Contracior's License is hereby claimed by undersigned:
as owner f> 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 Cosiness License #
cerci$L4_141ME
atin the the work for which this permit is issued shall not =mploy any person
in any r. er so en s com ensation laws of CalifOwnerAddresss0�
By Address
706 Stendhal Frank
99/S—W01—1roaz w,°d
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