87923 (2) 8152 PARK VILLA CIRCLE ,
UBC 1973
Tract No Lot No.
CITY OF SA JOSE BUILDING DEPARTMENT
� APPLICATION FOR BUILDING PERMIT 2 'U'
Date 19 Zr- R if No. 5 7
Application is hereebmade {or a permit to,/ie
a story, Tye /!��" Buil g.77��---- Use Zone
to be occupied only as T7,, 14" li r Z Parking Space
in accordance with Plans, Specifications and Plot'plamfiled I erewif . Fire Sprinkler
� J►i� �`m r. Elect:
Estimated Value of Improvements, $ V
I certify that in the performance of the work for which this permit is issued I shell not employ any person
inany manner so as o violate the wo kmen's compensation laws of California.
Owner 9�L— � - Address 3 O -0
By Address
RECORD OF INSPECTION
Foundation �•��'75 ""-i Frame
Stucco Finish
8152 PARK VILLA CIRCLE PONDEROSA HOMES
1-082 woj
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