40761 CIL Sage Ct,
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No- -------------------- Lot No. ------------
-------------- ----------- 19_........ Permit No. ---- ----
Application is hereby made for a permit to .............................................
a-------I.......story, Type-34F
-------- - -. . ........ ---- -------------- Building
at ...L7.2-L....... I e Zone?--../-----------
9ccupancy ...;P--------------
to be occupied only as -64�A)l................... " S ace
---------- Pa'rki P
/V in accordance with Plans, Specifications and Plot-plq6l, d hereXwg
Estimated Value of Improvements, $..2L900
It is hereby agreed that the requirements of We San Jose---Building- and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose. will be
complied with. '
I certify that in the performance of the work for which this permit is issued I shall not employ any par-
son in any manner so as to �iolate the workmen's compensation laws of California.
Owner .... 'IC-C1.11 .'....
e-1,0Z J...............Address ------ --
contractor4f
ByAq at J . ............Addre�s
U19 age
Form 28o-i(Y2i�SCvWft�� John Verducci
RECORD OF INSPECT-ION
-2 '3
Foundation ------ --- - ----------- ---------................. Frame
--- ---- ---- --- ---- ---
Stucco ------------------37715—6 3 0'4'�'a Finish
--------- ----............... --- ..... .
-----------
--- ----- ---- .{l.