87923 (2) 8075 PARK VILLA CIRCLE
Tract No. Lot No. UBC 1973,
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafe �/ 19 7 _Per�fi+ No. ��� Z3��
Applica#ion is hereby mach for a permitpermit t�CiL 1-1 ftlx—''C-'et)
e story, Ty �' ��Buildi��n,,99 A \ _ - Use Zone
Ty � ( •� �L-P'� Occupancy
ef�Q��/—Re— ," ���5 j'G �i P Y
to be occupied only as_/ v� - � �- Parking Space
in accordance with Plans, S ecifications and M '-Ian filed herewith.
Fir Sprinkler
P ( Emer�Elec+.
;?Df ////11
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 to violate the wo en's compensation laws of California.
Owner Address
By Address
RECORD OF INSPECTION
Foundation Frame
Stucco FS'(- ST Finish
" 8075 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 authorises this application.
San Jose City Business License #
Form 260-1