81490 (2) 7643 Hollanderry Place
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �! r
7 �.
Date .J_ G( , 19 / q Permit No.
ApplicatioFn is ere made for permit to ' 1 L)
a story, Type — Buil�in Use Zone
i" Occupancy
to be occupied only as C-C > IQPng Space
in accordance with Plans, Specificatio/nS) -Fila-nfe rewrth.�1 ce
lofprTAkler
I i mer. Elect.
Estimated Value of Improvements, $ 7, D C !/j,�jt(,�eu(_,
I certify that in the performance of the work for which this permit is issued f shall not employ any person
in any manner so as t violate the workmen's compensation laws of California.
Owner T L 'C Address
Address
INSPECTION
(('' �, / ORD OF f /
oun tsofi � C Frame
74-
Stucco Finish L7
7643 Hollanderry Place R. Garber ��
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 #_ / a 3 ti /`�
47 Z
is in full force and effect and properly authorises chis application.
San Jose City Business License #'_ `� --- ��Ce 2= /
Form 280-1