26480 (2) K59 Presidia
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
c
Date Y - ;Z_ 6 19_'7—,
Permit +,{o.
Application is hereb made for a permit to
a_ _story, TypeBuilding _ Zone
at /.5 9 _ Occupancy
to be occupied only as Perking Space
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler
�?-= Emer. Elect.
Estimated Value of Improvements, �
I certify that in the performance of 4he;ork/fo�cha 'iri's�it� l sh� not employ any parson
in any manner so as To violate the workman:i compensafiona laws of California.
OwnAddress
B _L Address
RECORD OF INSPECTION _
Foundation _ Frame
Stucco Finish
260-601N
8159 Presidio '
Ezemp}ion 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 #sa�^y 7 — 2 Z '7 19
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