70463-V (2) 8075-77,,/Park Villa Circle �j�
g� u��n- Tract No. Q Lot No. ?C' �' f
CITY OF SAN JOSE BUILDING DEPARTMENT
�Ay
APPLICATION FOR BUILDING PERMIT
Date Aoa , 19 7/ -Permit No.
�A^ pplication is hereb made for a permit to -e /L K
a1� s+or Tye /N� B Iding� Use Zone �,4
It QQ /_� %�Cc Occupancy__
to be occupied only a "f kingSpace
y �i Fite Sprinkler
in accordance with Plans, Spe is ions and Plot•planfilldthera ith. —
Em r. Elect.
Estimated Value of Improvements,
I certify that in the performance of the work for which this per i} is issued I shall not employ any person
in any manner so as fy violets the workmen's compensation laws of California. n
Owne// /1930 ( U 75
By �pf�L�� Address ✓ ✓
/rt RECORD OF INSPECTION
Foundatio 4'-7'2-- �J/Iue"'-e-sem Frame 3
jj �yY .ylr*�
Stucco Finish /1
60� SSi/
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 appli_ation.
San Jose City Business License #
Form 280-1