70463-V 8125=2� Park Villa Circle
"4o 9V Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT '70")z7-
Date NdyC/I�/3�,PJ , p Permit No. 4(03— yFC10
Application is hereby made for a permit to K- //
a --story, Type ,Building �I Use Zone �i3h
at lS/�7 ?' F1 3 .E? yLLA e%CCL'�- Occupancy_f�
to be occupied only as 14 D <l" —W/fie arking�$pace
in accordance with Plans, Specifications and Plot'plan'file d'herewim. Ei��5prinkler
O DDO — Em r. Elect.
Estimated Value of Improvements, $ i �_ 71_
I certify that in the performance of the work for which this permit is issued I shall of ennloy any person
in any mapper so as to violets tha workrr�/e\n's compensation laws of Californi ��"S .'�98�3^^ }�
Owner mR444/ f�d/»ESKJ/�. �Address /,2Z-0
By ����St / Er/f]ih hr GGAddress, -
2RECORD OF INSPECTION
Foundafion/—f0— Frame � 3' 7j2
Stucco Finish �7, L�CJ^ 7 L'
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑ '/`/Q
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 #
Form 280-1