70463-V (2) 8055-5 Park Villa Circe lv
c/
Tract No. 2)W Lot No./ y
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date Permit No.
Application is hereby ma a for a permit to
a4rUG2E_�storyy Type Building/Ow—Use Zone
at �=T��� iLLff�C//�iL Occupancy
C'1' nrr g Space
to be occupied only as Sprinkler
�—
in accordance with Plans, Spec' ic3 ions and Plot-plar��d herewith. �Fire Sprin
Estimated Value of Improvements, ODO-- ,
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to viol a the w rkmen• compensation laws of Califoy�ie.
7 i /^rT_,tTAOAddress /03a LU/T/S f�/EL%D
Address
RECORD OF INSPECTION n
Foundationok —/.0 —72® '✓—Frame �f 6 �2�/✓7��--44,,/�'
Stucco Finish AT- I1 L
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ aM filed 1-1 / � 0
Applicant attests of Californiathat his State of CalContractor's License #' <
is in full force and effect and properly authorizes this application. �
®� San Jose City Business License #
/03
Farm 280-1