87923 8061 PARK VILLA CIRCLE'
UBC 197T
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 7 1i . 19 Permit No.
Application is hereby ad for a permit to J. L_���-�}
yb,�. story, T - 9 `Mildinq Use Zone
et_{r•+�l-144 _/r 6-C�•P 6 Occupancy
Space-
to be occupied only as /L���'1 LI _' arkin Space
--��.� y� j�//r /gFW'e prinkler
in accordance with Plans, Specifications and/P f-plan fi!edtherewith. /Enver. Elect.
Estimated Value of Improvements, ;
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 a—� violate the wor n's compensation law'of Californid a. c
Owner sY Address
Y
s jn Address
RECORD OF INSPECTION
Foundation Frame
StuccoAA —Z- 3 2 Finish r
8061 PARK VILLA CIRCLE PONDEROSA FOMES
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 fore, and effect and properly authorizes this application.
San Jose City Business License #
75 Edo I-GAs#4I N C,
� &&C.7 /NSp ,, .VVE To 67X7.L, cwrFfXTveES
d6-IN6 M4V6D .
bowel SPou7 PP-06u5hs. erc,
Form 280.1