70463-V - .8064-66 Park. Villa Circle � rE it yboo
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b� Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date �'7/�ed-OO 7 19 �� Permit No.
Application is hereby made,for a per
s /
_story, Type B"uilding ® Use Zone
at oU�6��0 /�5C!� �GL/ �eC� Occupancy y
,� of arkmg Space
to be occupied only a �l� G/
J /�J �Ufli' kler
in accordance with Plans, S ecu ica ions and P,lo+-plan it d�l�rew', .
029 4p7X its
Estimated Value of Improvements, $ G7����— Res 3983E
I certify that in the performance of the work for which this permit is issued I shall not employ any parson
in any manner so as to vio/l�te the workme s compensation laws of Califon a. An ,/ /�-
O caner L'/� n /?1 !/1N–y? 6 V� Address �� XTS–�//EACH /fiJc
tw.trior.ri /J Addressl��
�//RECORD OF INSPECTION
Foundation// 7
164' ! /�DYCs>. /Frameu'r�7-2w��'"��"'"QQ�r�
Stucco Finish
3
86 P. 55z
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.
Saann/Jose City Business License #
Farm 280-1