1650 (2) 6772 JOHNS,DRTVS
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--j19_��`__�7� Permit No.s2L
af%i
ereb made for a permit tom
a---/—story,, e --- Building_ Use Zo
at 'a yt Occupancy
toy as - Parking Space
Fire Sprinkler
in lans, Specification and Plot-plan filed herewith. Emer. Elect.
Estimated Value of Improvements,
I certify the+ in the performance of the ) which r , s ssp�aa!)I I�a�l not employ any parson
in any manner so as to violate the work dm pensa o eflortia/`�
Owner -� _ Address
By� /,� Address
— RECORD OF INSPECTION
Foundation Frame
Stucco Finish 3���-
260-6011
x,779 .Tf1HN , TIRTVF RIRFRT TwPRV
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