70463-V 8097-99 Park` Villa circle
�76
r6 N 1Tract No.� Lot No. F`7V
' CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 700)21-
Date L11 , 19 -7/ Permit No. FfL(AP A70'4&3 -
Application is hereby madd-for a permi+ �jyJ/L- D
a ON —x-8,6
E story, Type�— Buildings Use Zone _
at o99a ko97Al ey z/a, Occupancy /-It
+. arking. pace
to be occupied only a "f �� Fire Sprinkler
in accordance with Plans, Spe i rcatwns and Pilo#-pl�n.filed erew'rfh. '+��^�
�/�DO� Emer. Elect.
Estimated Value of Improvements, $ i /'P- 7/ 3-/d
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any m nnar so asto/violate_t¢a workmen's comp�jnsation laws of Calif nia.
Ow l /�a'rkiS4Gi19F�1Jiv ` i/YeWdress id3y�!/lop 41/ �
gy�/ �rt/ G%LC Address
RECORD OF INSPECTION
Foundation /—/7 Frame 3-4G'72�����"'��
Stucco Finish 7 -1,Y1
CO woel 5(3
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 application.
San Jose City Business License #
�� 9q
.Form 290-1