76643F (2) 8074 Park Villa Cir.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT/�
APPLICATION FOR BUILDING PERMIT Q
Da#eL�r�2T 19 ?� P rn i# N
Application is hereb a for a1permit to
a�6 story, Typ Builili gf Use Zone
at�Q[L7l �/ C Occupancy
r i�P.er�k�g Space
to be occupied only as r/ 7
in accordance with Plans, Specifications and Plot plan filed herewith. jre-Sprinkler �-
�` Enter. Elect.�
Estimated Value of Improvements, $ �U
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any man" r so as to violate the workmen's compensation laws of California
1Owner 1J OILe Address
}By G en Address 7t"70 (0a' S
C
<tt� RECORD OF INSPECTION
Foundation Frame
Stucco Finish 3' /-
8074 'Park Vilh Circle 9 Doris Gray
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 authorises this application.
San Jose City Business License # 3 '— d
'orm 280-1