33497 962Sage
SAN JOSE BUILDING DEPARTMENT
APPLICATION F0,,9,,ILUILDING PERMIT 9' 0 '5
Date------------- --------------------- 19-(P0---0--- Permit No------ --------
Application is hereby made for a permit to -------
. .............................-------------------
a--------/-------story, Type---
Building
at ------9U -)AGE
--
--- ---- ------
to be occupied only a s------j-----��A 7�y/-/—
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements. $.--. ----------
It is hereby agreed that the requirements of the San Jose Building and Zoning ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San 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 per.
son in any� annasoas to violate the workman's compensation laws of California.
Owner --
..
40 -.... . .Address
g
By ... . .......Address
Form 280-I 9 ljContracfor. Agent Sage Palo Alto Dev.
9�RECORD OF INSPECTION
Foundation --------- -------------'--------�- - Frame ..F..��77...�...v._/ --
Stucco ---------- 6,0
Finish -1y..
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