70463-V8079 Park Villa Circle
Tract No. 4: Y � Lot
CITY OF SAN JOSE
O'qa
No.
BUILDING DEPARTMENT
//f APPLICATION FOR BUILDING PERMIT°9zL
Date kd tlem /` lei 19 Permit No. %0
to be occupied only as
d 1 '+h PI
d
ilding ®�U Use Zone -/� 6
�— Occupancy
Perking $pace
Fire Sprinkler —
In accor ance wns, .. �.-..���w..... o,l .... .._. r,..... ...__ .._. _...I
mer. Elect.
Estimated Value of Improvements, $� p6i 7/--3-/61
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 qi— o ,rleta fh w�kmery's ompa�nsati°' Jews f Califojry.
Owne _ l�i'</'/�7C'S� / ilk-A/—i .A"Aifdreesse �C-�U�C.T/S
By_��%� -eQ/ Address
//�� RECORD OF INSPECTION
Foundation;-��-/W/Jeea+-1-r.0^ Frame 3-97,1-�_""�"'"t,d�
Stucco Finish 7' l t
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 # Z-7 FIO
in full force and effect and properly authorizes this application.
San Jose City Business License #
Fora 280-1