50826 (2) 6721 John
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT `� N
Date 7 19 06 Permit o.
Application is hereeb made for a permit to �
a 1 story, Type_. (StX-26— _Buil ire g� Use Zone Wil_
at 0(/(�Occupancy_=
to be occupied only a3t I ) Parking Space l-
in accordance with Plans, Specifications a P pla filed 'here ' ;�, hire Sprinkler
Estimated Value of Improvements, $ X
Exemption from requirement for State of Californi for Contracior's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly authorizes this application. -
San .bse City Cusiness License # - 1-5-0 7�_
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 workmen's compensation laws of California.
Owner .(�zGN.scS_Address/ 7-21 .49Sr.cT� 5 J -
gy Address
7l Tn}sn R _ D, Aea 11a
RECORD OF INSPECTION
Foundaf ion Frans C
Stucco imah
Form 280-I—IOM—5/66