NO PERMIT NUMBER (29)Tract No. --
CITY OF SAN JOSE
APPLICATION FOR
Date N , 19
a_
at
Application is
story, Ti
made for a permit
to be occupied only as
in accordance with Plans, Speci
Estimated Value of Improverr
I certify that in the performance
in any manner to as to violate thi
Owner
Lot No.
BUILDING DEPARTMENT
BUILDING PERMIT, , '
Permit No.
ePlot-plan
Building Use Zone
Occupancy
Parking Spacei filed herewith. Fire Sprinkler.
Emer. Elect.
6
work for whkh this permit is issued I shall not employ any person
an's compensa"n laws of California.
By _ Address \ c
RECORD OF INSPECTION
Foundation _ Frame \
Stucco Finish
&' QfLi
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