79702 8119 Park Villa Circle
Tract No. y 4kc Lot Nose Cc
CITY OF SAN JOSE BUILDING DEPARTMENT
� --�� APPLICATION FOR BUILDING PERMIT
Date19 73 11Permit No.
Application is hereby made for a permit +o—AdrL(/0
story. Type Building Use Zone
ccupancy
to be occupied only as / 2a, i ?lmrJ dnr%na TIr2 VL x`�Parking Space
in accordance with Plans, Specifications and Plot-pIan filed herewi in
Sprinkler
erA ,fE�. Elect.
Estimated Value of Improvements, $ 0D
1 certify that in the performance of the work for which this permit is issued whall not employ any person
in any manner so as to violate the workmen's compensation.laws of California.
Owner �pf E' .ZSa a c Address Fl!9 A k V;11A
By re ,i –>' Address r tip NryinoaTal e) C11.
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
8119 Park Villa Circle Samuel K. Taaac
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 #