87923 (2) 8062 PARK VILLA CIRCLE
JC 1973
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �r
Date 19 '? �;— Per it No.
Application is hereby madq for a permit to Ci,�� 4'hkV'e
a 2 story, T a ^ 7�Builc!jng Use Zone
� Y�_ t,GC���•POccupancy
to be occupied onlyaz h, Parking Space
in accordance with Plans, Specifications and Plo't� n filed herewit Fir��p'_Yink�e
r J® v0` �Emer. Eleef.
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 s to violate the w�orj�men's compensation laws of California.
Owner.PO• s•Pf_-p_S_f/CtG_rt_WPS— Address
ByAddress
RECORD OF INSPECTION
FoundationFrame
Stucco �- 2- �'� finish
8062 PARK VILLA CIRCLE PONDEROSA HOMES
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.
Swann/Jose City Business License #
��4.� s s�-ttSr� S'�ILt�S'US �•• 9E✓ani..r-` I�/�,�L'eP�a3 �/ars�s-e-.�
y- 23.-73' .
Form 280-1