90408 (2) 8121 Park Villa Circle
Tract No. Lot No. IBC 1973
CITY OF SAN JOSE BUILDING DEPARTMENT
/ APPLICATION FOR BUILDING PERMIT Q0
/� y
Date_(�— Z� 19 7S _/ Permit No._% r d' 4-
Application is hereby made for a permit to A�7�( <L 31X 2i (�K�R_J�/L
a—/story, Type y Builldi' Use Zone
at--P/-ZZ—— V� < oil ' y 4.�i«3.7-'F'r'Tti+i Occupancy
to 6e occupied only asParking Space
in accordance with Plans, Specifications and Plot-plan filed herewith.
Fire Sprinkler
2J / mer>Elect.
Estimated Value of Improvements, $_S2� n /�fJs�B"1� /
I certify that in the performance of the work for which this permit is issued I shell not employ any person
in any manner so as to violate thggworkman's compensation laws of California.
owner L i
Address PILI V"//�,, czz
By Address
RECOIRD OF INSPECTION
Foundation Frame
Stucco Finish
260-601N
8121 Park Villa Circle L . B . Stelbaski
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 application.
San Jose City Business License #
23o-6oi N