56630 (2) 7723 Huntridge
Trac+ No. Lot No. �
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
� d
Date fl c—k-,-,4 27 19 4 Js Permit No. 3
Application' is hereby made for p permit to A O D f 7/'X.1 1 F,
a story, Type l�•a't / y //%' ' Use Zone
at 7 7 _ Occupancy
to be occupied only asl�'t ,: � rking Space2
in accordance with Plans, Speci ication d f- a Jed h erewif Fire Sprinkler
Estimated Value of Improvemen#s,
I certify that in the performance of the work for which this permit is'issued I shall not employ any person
in any manner so as to violate the orkmen's compensation laws of California. _
Owner_.si ���-s- � Address 77 0.7 L<l
Address ) 77 7 -�
��� � RECORD OF INSPECTION
Foundation 3— Z 9q .off L�a^-.� Frame S—
Stucco r— �5 — �U �il��- - Finish �' 12-
7723
Z7723 Huntridge
Bill :White-
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 # vR D / _3 `Jr 9
is in full force and effect and properly authorizes this application.
San Jose City Business License #
Form 280-1 Rev. 4/67 IOM