NO PERMIT NUMBER (25) 4-.
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
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
at 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 that in the performance of the work for which this permit is issued I shall not empuay any person
in any manner to as to violafe the workmen's compensation laws of California.
Owner Address
By Address
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
v,
260-601N ;.
RJ