51652 1330 Flower Ct.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT '
Date (9 P.f / t, , 196` r, Permit No. 'S /4 ) -2
Application is hereby made for a permit to A�
a_story, Type R /l ..4 i Building Use Zone
at /33 o IC-,L o w o? (ea Occupancy !
to be occupied only as �° a! Parking Space 2
pt ei PN �Ci Fire Sprink
in accordance with Plans, Specification n Plot-plan filed2 hereler
LC
wi���
Estimated Value of Improvements,
Exemption from requirement for State of California for Contractor's License is hereby claimed by undersigned:
as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # k 2 U
is in full force and effect and properly authorizes this application.
San Jose City Business License # 41�� // 6 �z
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any manner so as to violate the workmen's compensation laws of California.
Owner 16F 9 2 9 aoCtel _t Address
By k Address t % %N /'--
1330 Flower Ct. Gord4 SLckley E-,
/ � 3 v �L o a✓ c /? CT.
RECORD OF INSPECTION
Foundation Frame
Stucco Finish �• Z • G 7 WwlJ
APR 2 5 1967
Form 280-1—IOM—5/66