70463-V 8073f_-73 is.� Park Villa Circle : &
�
�'111Trac+ Lot No.�
CITY OF SAN JOSE BUILDING DEPARTMENT
!J� APPLICATION FOR BUILDING PERMIT �o9t2
Date /I/Dv�� I9_`zz _Permit No.
Application is hereb mad%or a permit to U100
a pp1l9 story, Type But ding Use Zone- 5�
at .3 O] �a>��U' �P Occupancy
to be occupied only as _ - B",L Parking Space
%Npf//d Lre Sprinkler
in accordance with Plans, SpRi i a ions anilrPl�t planet here i+h.
mer. Elect.
Estimated Value of Improvements, $.��Q2D /Q—_71-9/10
1 certify that in the performance of the work for which this permit is issued I shall not employ any parson
in eny m nner so as vie to the orkmonoompansetion laws of CG.WC /�
OwC � 5EGt1EIUR Address 3 JNT/5 f/Lo/L/l��e
By
dk Address
r RECORD OF INSPECTION
Founda+ioe '��—J`L�dn•s-+'r'r"G� Frame
Stucco Finish /I / ' 7 2
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ of CalifornianT filed ❑ #
Applicant attests 4hef his State of CalContractor's License
is in full force and effect and properly authorizes this appli:a}ion.
San Jose City Business License #
�?6 -q-ID 3
:P-
'9'a I Y-4
P- '9'a1Y-4
Form 2Bo-1