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90174 7740 OBSIDIAN C'T.
� �4,� - P/,8.
Tract No.�/' Lot No. 2
CITY OF SAN JOSE BUILDING DEPARTMENT
m '. PPLICATION FOR BUILDING PERMIT
Date l.J'� 19 —Permit No. �1
nApplication is hereby made for a permit to + _
a� story T pe /` Byild.141 Use Zone _�w.
at�2C�p Occupancy
to be occupied only as...� Pa+rg Spe /
��`Fire( prinkler
in accordance with Plans, Specifications am+Plotplan file re I. ��
Emer. Elect.
Estimated Value of Improvements, $ -4 �©d> .
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 r0�'�' fir' " '= "`-� Address 3080 Olcott St. S.C.
By Address 3080 Olrn+'+ St
EyUt�j I1 - 5 S ECO/RD O. F INSPECTION f0�e 1 i8 est+
Foundation_n`?�r 7 5AGQ - "Frame
Stucco, �— �ilJ'7'� `� Finish
7740 OBSIDIAN CT. POND. HOMES
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑ p
Applicant attests that his State of California Contractor's License # - 7S p
is in full force and effect and properlyhorixes this a plication.
San Jose City Business License # L7 U �s
�` sTucco uriQ,� i2- 30-7� � r
Farm zeo-1