53359 (2) 7583 Lockford Ct.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTtENT
APPLICATION FOR BUILDING PERMIT TAS
Date — // l9 Per - No.
Application is hereby made for a permit t /
a�_story, Type Bui in � se Zone #Q — /
at Occupancy_• _
to be occupied only as Parking Space 2—
in
in accordance with Plans, pecifications and P t- 4, :P7
ed}, e
Estimated Value of Improvements, $3005
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed Z/ / l�
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly authorizes IL's a li ation.
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner o es to vplate�.tfhe workmen's compensation laws of Califor.'+
Owne
`/ /aP Address 2T —3 ` a/c
ByA� Address
7583 Lockford Ct. Lindstrom
RECORD OF INSPECTION
Foundation S /9-6 , G ►(. �,�(,�
Stucco Finish_ �• 6 �_�i�(, _
Form 280 1—IOM—5/66