70963-V 8081-8� Park Villa CircleIV
q, 41 Tract No.1:5 Lot No. 7 � /3S —
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �o�Iza
Date , 19 7/ Permit No. 70q�'J� Y
Application is hereby me' a for a permit to BUiLd x
aat 00�r-mm� �6� , / Bdg Use Zone
C�I.C.GL .'pccufpcy_%7�
to be occupied only as���_S j arkinglSpace
in accordance with Plans, Spec"Wic hon�nd Plot-plan filled herewith, Fire Sprinkler
3D DDD�D Emer. Elect.
Estimated Value of Improvements, $ '
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in an m near so a o vi to f workman's compensation laws of Celiforn
O wne � Address �l�'��177U�'T/S I&NIO
Address
RECORD OF INSPECTION
Foundation/L ��' 72'/?n:'""^".y Frame �'Z �oSR'c��„"�'"'�AQ.�►
Stucco Finish
Co1J�
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 force and effect and properly authorizes this appli_ation.
San Jose City Business License #
�- J�
�- 8ai��
Form 280-1