87923 (2) 8073 PARK VILLA CIRCLE
UBC 1973
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 19 7, Per 't !o. Y % Z 3
Application is hereby mad nor a permit to �/
a story, Ty �� _ Buld in Use Zone
�6Occupancy
arking Space
#o be occupied .only as � /
�'I� Fire Sprinkler
in accordance with Plans, Specificationsan�dd Plloo -plan filed herewith. Emer. Elect.
Estimated Value of Improvements, $ I " ' -
I 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 violate the worm s compensation laws of California. 73
Owner Address
By Address
RECORD OF INSPECTION p
Foundation Frame
Stucco `� 1r ��"�'� Finish
8073 PARK VILLA CIRCLE PONDEROSA HOMES
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 force and effect and properly authorizes this application.
San Jose City Business License #
Form 280-i