94665 (2) 1140 Elmsford
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
� q'iseby
PLI�ATION FOR BUILDING PERMITDa+e L2C—, 19—&- Permit No.Applic n made for a permit to L/� .��10_ A _A
a_a-story, Type — �yrByjld�ng 00 Use Zone ,N!//.136
at—.��Q-- i-�Q[] �OV Occupancy-!/ A/1
to be occupied only as A4Parking Space_. "L
in accordance with Plans, Specifications an ?--t-
pla
ire.Sprinkler
1�� ' C� Emer. Elect.
Estimated Value of Improvements, ;
I certify that in the performance of the wor for which this permit is issued I shall not employ any person
in any manner to as tc violate the workmen's compensation laws of California.
—
Owner d'��S' /�/liQ//.�,a 1Address /�/�H��D
By_/I A Address __30 k L3n�,u tAC Dc- SJ.
4 REC RD OF
INSPECTION _ /�
Fon.dation71" !7G �yI Frame ? «`?jr W1 'moi0 b! 1.00?6 - """� Finish
5-260-601N'
1140 Elmsford H. Hogg 1
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
es owner ❑ statement filed ❑
Applicant attests that his State of California Contractor's License #15 90-544—
' is in full force and effect and properly authorizes this application.
San Jose City Business License #
/J s
/�✓�a./L C-GLsi.
r.
280-601 N