3361 7644 West Hill Lane DUPLICATE CARD
Tract No. Lot o.
CITY OF SAN JOSE BUILDING DEPARTMENT
�i APPLICATION FOR BUILDING PERMIT
33 HL_
Date�� / 19_/�. Permit
Application-ishereb made fore ,permit to2 _$, " / T<//
c?4Ui.Cs wilding
_ UZone
Occupancy pancy
#o—beF-o�ccu�pied only as ,j'M)rarking Space
Fire Sprinkler
in accordance with Plans, Specifications and Plot-plan filed erewith. Emer. Elect.
Estimated Value of Improvements, 7 4
I certify that in the performance of the;owhich this pe i is issu Iall not employ any person
in any ma nor so at to vio a the workmen's cam pentetion laws of California.
Owner rv+ Address Z��1� � ���� 'L
By p Address ?104- ✓ leS��/l�
UFL 6 i4-77 D O� INP TIONr7r �. 9
Founda#ion '�'"�FFrraw+ �y /
Stucco Finish /_09
26 .1
0-601f
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 #
280-601 N
1.LOCATION 2.DAT RC 3
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:8.:APPROVED ( 9.REMARKS:
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