70463-V (2) $0859-61 Park Villa circle
v
n Tract No. �6 Lot No._� /3
CITY OF SAN JOSE BUILDING DEPARTMENT
,^, ll APPLICATION FOR/ BUILDING PERMIT 7097-2
Date_ffL�/� 19_x! —Permi+ No. 9� V
Application is hereb m�dle for a permit
+o
a'�i Q% rpe %l/ Build g� Use Zone
at �l4 U'L / •� Occupancy __
I Parking Space
to be occupied on '� 1
cry as- - -:
ti ns� �E� � Fire Sprinkler
in accordance with Plans, SPAR, (q�(nd Plot- Ian filed herewith. A^
'Estimated Value of Improvements, $_.�0j����• �� ���'� �0
1 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 f violln
to the w Amens compensation laws of calif a.
Ow� CKpjp�y_ //, EIFfcTnll_0-Address
/ ✓
gy Address
RECORD OF INSPECTION qq }�
Foundation �' 72 /` '"" ' Frame •�k2r � � /""'"`�'�
Stucco Finish e �I Z Vim^'�-6
C6ktP• 55_C'5
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 #
Form 280-1