70463-V (2) 8063^. 6 ark Villa Circle
v
Trac+ No?4� Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
J APPLICATION FOR BUILDING PERMIT 709i:7
Date /D��/n �` 192 Permit No.
Application is hereb oma a fora permit to v/Gp
n
aC'o
to �T�ype9ding� Use Zone
at�a���cYU6� �K U/GG.?e/2iGF Occupancy
to be occupied only as< � /��„/�� ���,�+9EG Parking Space
in accordance with Plans, pe i4,!f,io=ne and" RPI f planyfi�d,Ke ewiih, �F,ire ,Sprinkler
X300/00!/
Estimated Value of Improvements, $ .
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 viol to iha w rkmencompensation laws of Califo
Own IiCi/1dressAl 11
gyA� � a"iwGcei Address
J RECORD OF INSPECTION
Foundation —/y' 22 �+�-'�Erame -'?— 3"P� 72—
Stucco Finish 7, 1 3 • /'"�/
66,W14? 5570
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicanf:
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. '
Sean Jose City Business License #
13
s�
G - �a
Form 260-1