NO PERMIT NUMBER (19) 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 #
�:��'"•`' .;s,�p 280-601 N
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date , 19 Permit No.. _
Application is hereby made for a permit to
-
a story, Type ___Building_ Use Zone
a}
— Occupancy
to be occupied only as Parking Space
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler
Estimated Value of Improvements, $ Emer. Elect.
I certify then in the performance of the work for which this permit is issued I shall not em to an
in any manner so as to violefe the workmen's compensation laws of California. D Y Y Parson
Owner Address
By Address
RECORD OF INSPECTION
Foundation
Frame
Stucco Finish