78443 F 1606 Jamestown Drive
Tract No. Sal Lot No._L_
CITY OF SAN JOSE BUILDING DEPARTMEW
PLICATION FOR BUILDING PERMIT ';7 9���
Date— 19---73Permit No.
Application is hereby made for a permit to
R18-
a Type S Vain P Use Zone
Occupancy G
to be occupied only as Parking Space
Fire Sprinkler
in accordance with Plans, ci s n f, rewith• Emer. Elect. -�
Estimated Value of Improvements, $ . r5-�
I certify that in the performance of the work for which this permit is issued I shell not employ any person
in any menner s//°°s to violate the workmen's compensation laws o alifornia
Owner7W(_rytt Address 6 CflJh By- R unset Address 1495 G Wi nc-he ctPr Al trd
yECORD OF INSPECTION
Foundation Framee/
Stucco Finish
d v
Exemption from requirement for State of California for Contractor's License is hereby claimed by applican4:
as owner ❑ statement filed ❑
Applicant attests that his State of California Contractor's License # C53273787
is in full force and effect and properly authorizes this application.
San Jose City Business License #—
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C � 1
`S 0
1
PCcl
Form 280-1