87923 81'34 PARK VILLA CIRCLE
Tract No. Lot No. UW 147$
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dateti 19� /fL�—Permit No.
Application is hereb
a /� story, Txpe Use Zone
at X/3gOccupancy
+o be occupied only as T✓I P eki//n�g Space
���� ;rAg'Prinkler
in accordance with Plans, Specifications an�d`Plot-plan i.e crawl+h. (Mer. Elect.
Estimated Value of Improvements, $ T -(rd U
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 es t riolefe the workm n's compensation laws of California.�Oy
Owner �O cP -V-Z,—Ir Address 3d rCJ
ByAddress
RECORD OF INSPECTION
Foundation (j� Frame
Stucco \0`7 S `" Finish
813 - PARK-VILLA CIRCLE PONDEROSA' HWES
1-086 -JOS
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