70463-V (2) 8067-69 Park Villa Circle 6f
V ✓
0
g �i///,�Tract No.'s/ � Lot No.�� �'�
CITY OF SAN JOSE BUILDING DEPARTMENT
r, APPLICATION FOR BUILDING PERMIT ?
Date NDJi , 19-1-- Permit No.
A Ii ti is h ma a for a ermi} o
stor Type uildii g Use Zone -13 l
a Occupancy
to be occupied only as ee ���Lp �� Par�kjngoSpricer
e„_�
in accordance with Plans, SpecRice ions and Plot}.p'" Ian filed here ith��F.Emer.�act.
/ODOpp p Emer. Elect. —
Estimated Value of Improvements, $_/ • /,-71—:—/D
I certify that in the performance of the work for which this permit is issued I shall not employ any p son
in any manner so es to n Ie4e work en'z mpansation laws of Cal if ia.
Ow _ // /!/ TA�13-Address RTS (�
g �12r-L GP/ Address —'
RECORD OF INSPECTION
Foundation 12 '/4" Frame 3- 090,7Z— //4 e7l-'�A N
Stucco Finish 2 % �(r 2 2—"
rikV 390
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 # /%�T/
is in full force and effect and
properly authorizes This eppli_ation.
San Jose City Business License #
�U� 9
�l
Form 280-1