70463-Y (2) 8113-15 Park Villa Circle 63—
1 11 Tract No)f�'t9 — Lof No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ?09ZL
Date 11r19 Permit No. LLk-0 70463- v
Application is herermi�f0 /L,(,
a stor , Type Building Us, Zone
at �5 8 4SpeOccupancy
to be occupiedonly asIp� a;Ag Space Z/
in accordance with Plans, nd Plof-plan filed-herewith. afire Sprinkler —
w E er. Elect.
Estimated -Value of Improvements,
I certifyth /��'�O
e+ in The
Performance ofwork for which this is issued I not employ any person
in any manner so as To violets the workmen's compensation lawsws ooff she I California.
Owner Address
By Address
RECORD OF INSPECTION
Foundation L— /,9-7g—zs,-- svr. r ame 319%72
ns��Si�c fin
Stucco Finish 7 r `�7c ! Z &4,,s
COMP 5574.
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