NO PERMIT NUMBER 908 Sage Ct.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
�}. APPLICATION FOR BUILDING PERMIT
Date 6 J , 19_62e Permit No.
Application is hereby made for a permit to 0"(,W C d4dQ .
a st.tory, Type �- / i1di g//�} Use Zone
� 2 —
at ' /= W/ Occupancy
to lee occupied only as /y K arkin a 'l—
er
in accordance with Plans, Specifications and n file r l
Estimated Value of Improvements, $ C U U Cr
I certify the+ in the performance of the wor for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner C N N)5 /F / N % Z - Address O(/
By_,/ f M 0-0 NS 5 C 0 Address 6 '1�c,.r .a4YJ�1f QC? -
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RECORD. OF INSPECTION
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