75432 (2) 8064-66 Park Villa Circle
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Data Ig73 Permit No. ��3�'
Application is hereby made for a permit to %O
a_/story, T B . Building Use Zone
at-7"4:i k'AZZ/e Ole' Occupancy /
�%��yj��(J� qa Parking Space
to be occupied only as," - r 9 0
/?� Fire Sprinkler
in accordance with Plans, Specificafions�and,Plot-plan filed herewith.-./ .�
3 a, Amer. Elect.
Estimated Value of Improvements, $—L�O
I certify that in the performance of the work for which this permit is issued I shell not employ any person
in any manner so as to violate a wor man's compensation laws of Californian
Owner_}. Address
By V f / Address ¢ --vii C3 S-c' "/
RECORD OF INSPECTION Cl
Foundation Frame (�
Stucco Finish
:2
80642A &V M4rj'6iie Schlagel
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner L-7/ statement filed ❑
Applicant atfests that his State of California Contractor's License #
is in full force and effect and properly authorizes this application.
Sanas Joos�e7 City Business
License
#
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Farm 280-1