70463-V 810 -07 Park Villa Circle �����-�//6
'f I�7✓ ✓N� Tract No. .60'10 Lot No.— / �.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 7092-4-
Oaf a
092-zOafa &PY• , 197/ Permit No. r-,u(,4 70,1(a3 ' �(
Application is her ehLmade for a permit to /SU/L,O Ii�
astory, Type Buing�. —.Use Zone
a} Occupancy
to be occupied only as — 'U.� A�•`J6� Parking Space
in accordance wit h Plans, Speci cat ons and Plot-pla filed herewith. Fire Sprinkler
�Emer. 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 as to violate the work en's compensation laws of Califo�ia. �I�t D
Owner' "ddress l�.' �ViE�/S 'M'1
By ( `)� C-� Address
RECORD OF INSPECTION
Foundation�a?�,��,�.�,�tie/-,• Frame 3 9'7,—
Stucco Finish Os/E2
Cbu�j'0 5S(�
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 #
O 5 F/ N olG 7 6 -77- 12 G
.2: zo Z
E ^
Form 290-1