55997 1673 Galway
310D
Tract No. Tr. 4254 Lot No. 39
CITY OF SAN JOSE BUILDING DEPARTMF J
APPLICATION FOR BUILDING PERMIT qq pp
Dafe January 16 , 19 68 Permit No. 5S J J 7
Application is hereby made for a permit to Build
a 1 story, Type V-ReiiiijeptjAl, Buil g Use Zone /C t
at 1673 Galway Dr. ��� Occupancy J—
to 6e occupied only as One family Parking Space A
in accordance with Plans, Specifications Od Ian fi ti p inkier
Estimated Value of Improvements, $ Q- 1 .600
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.
Owner Assoc Inc. Address 11L5 So. Hwy 9 San Jose
RECORD OF INSPECTION
Foundations ��'�� Frame �7�—��—/�i
Stucco y-/D- 6& Zet,/ Finish 6—��
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 # B-1 193961
is in full force and effect and properly authorizes this application.
San Jose City Business License # 4-10548
Form 280-1 Rev. 4/67 IOM