70463-V (2) 808 -91 Park Villa Circle ed
✓ �y4d Tract No.4 Lot No. 73 �— /3c/D�
CIT OF SAN JOSE BUILDING DEPARTMENT
A, APPLICATION FOR BUILDING PERMIT 7o97-2-
Date / �yL'�i3E/'�� 19 7/ Permit No. '204,12 —
Application
OI G 3 —Application is hereby mad for for a perm'} }o
ar'DY
a story, Type b A) Bu
A) Use Zone
a} B .0 U/G /.Q@L� Occupancy!�
to be occupied only as — �ar�g Space
yy �F�ire Sprinkler _
in accordance with Plans, Sp at awns and Plot-plened herewith. er. Elect.
Estimated Value of Improvements, $ D.06P '71— 9 %'D
I certify that in,the performance of the work for which this permit is issued I shall not employ any person
in eny m nnar so a to violate the/�orkmen's om pensation laws of Califs�yie.
Owln----� //1Ep5 ddress 'OQTS
By Address
RECORD OF INSPECTION L
Foundation/",Q" ;/"fJ� Frame, 72/�y� i's�^'►�"�
Stucco Finish I LS- 22X
e," j
Go�P- 55l'V
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 appli:ation.SanJoseJose City Business License #
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Form leo-1