70463-V (2) 890-f'2 .'.Park` Villa Circle Tgr oo
Tract NoS pQ Lot No. � 00
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 4h_2_6eP / 7 19_ Perm t No.
Application is herele made/for a pe 't t /;V
r
a_,L e _stor , Type N E Bu�ding� Use Zone
at _ fA Occupancy
to be occupied only as� �`., ��/_�aar-king�Space—
".� 4F.itefSprinkler
in accordance with Plans, Sp ci cations and Plot-pan ed her with.
Estimated Value of Improvements, $
1 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 to viol the orkmen compensation laws o Califf
OweerN� AddressU TS ST// 11,4V1,_—
y /-t/ / Address
RECORD OF INSPECTION z _
Foundation L/' iu'"'-." frame
Stucco Finish x
co
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 # "t
is in full force and effect and properly authorizes this application.,
San Jose City Business License #
262 2 i-/N o <— -7 -4. -? 2-
20 $U t'/AJ Al 7-G • 7 Z � -�
Form leo-1