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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 # ZE Form leo-1