89807 7906 OCTOBER WAY
Tract No. Lot No. UBC 1973
CITY OF SAN JOSE BUILDING DEPARTMENT,
APPLICATION FOR BUILDING PERMIT
Date 3/ , 19 Permit No.—
Application is hereby made for a permit to a /alt(
a_/story, Type BuildingUse Zone
at qqD(o 142 L //f/V Occupancy
to be occupied only as ie c. t GeEg.i F- i$ 'I Park�g Space
r/� FRe�Sprinkler
in accordance with Plans, Specifications en JrPI`ot=plan filed her with. /'�
a1J Emer. Elect.
Estimated Value of Improvements, $a600—
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
OwnerSPMUE L 6iZr l AJ OEz Address �qOL-• Oazoi5g2 u)A
By (aii2,-0&0T �kwJ,'av 40. Address SIL S (3asco
-�1a1Lr`u � RECORD OF INSPECTION
Foundation Frame
Stucco Finish Lk
7906 OCTOBER WAY,
SAMUEL FERNANDEZ -
Exemption from requirement for State of California for Contractors License is hereby claimed by applicant:
as owner ❑ statement filed ❑
Applicant attest, that his State of California Contractor's License # 1, i RlOf y
is in full force and effect and property authorizes this application.
San Jose City Business License
"7 lQy�
Form 280-1