87897 F (2) 8069 Park Villa Circle
Tract No. Lot No. UBC 1973-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BJLDING PERMIT •`lJ
Date l 19—Permit N
Applicat' is heremad'e for a permit tom_ ��� —1—/
a story, Type rtloA =ilding _ Use Zoned-!
�!'•, Occupancy
to be occupied only as_!_�G .���_��n,,�� Pa ngs�Pace y����
in accordance with Plans, Specifications a` an filed he" �ewi" ,/&re Sprinkler
P � Emer. Elect.
i.
Estimated Value of Improvements, $�C�
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any mj�n so as to �i�!f}e the workma :s < pe nse}ion laws Of Ca�ifornie. /a ' ,
Owners„ ��-���(G A ���Address &t/
By Address
RECORD OF It CTI N
Foundation Frame
Stucco /� Finish
R069 Park Villa Circle C . A. Hill
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner4�r statement filed FI
Applican+_atfests that his State of California Contractor's License #
is in full force and effect and properly authorizes this application.
San Jose City Business License #
Form 980-1 ..