70463-V (2) 806 –70 ParkVilla. Circle , ` iT— (000
AX 'ire
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^�l � Tract No.��� Lot No. 74—A
77
CITY OF SAN JOSE BUILDING DEPARTMENT
��"" APPLICATION FOR BUILDING PERMIT
Da+e//�TP�E�� 19� Permit No. 70 4/e3 _y
Application is hereb made for a permit to-NvTlz'L K
a ( story, Typ ��� Building Use Zone
at
rl?l� arking'Space
in accordance with Plans, Spe i ications and�Plof-p n led°h�fewit�Fir��rinkler
Estimated Value of Improvements, $
I cer}, y }hat in }he performance of the work for which }his permit iz issued I shell no} employ any person
in any manner so Ss to olafe }h workme s componsafion lawsD3valifoi;A
Owner - 1�§r{_�V._ 16�� � Address
Address
pp
RECORD�� ��OF INSPECTION
Foundation
/y/��7/ z4e,/6aU'�� �t_ Frame .24/_ 77-
�L
Stucco Finish --2 , / 2 , ?
coW/0, sY23
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 farce and effect and properly authorizes this application.
S_ar! Josq City Business License #
Form 280-1