15998 914 tSAGE COURT r
n NN�sl �� Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
�1_A�P..PLICATION FOR MECHANICAL PERMIT
Dafe�-(i!--. .x ......... 19. /.. Permif No..a�J� [p�........................_...
The undersigned hereby mak e-epplicatn }}QQ the Plumbin Insp of the City of Sen Jose
for a permit to meiall the me ani rs 14�i�i h5 ev 9 si
Exemption from require for to of Iiforni f r on rac}or's License is hereby claimed
by undersigned: as o ner ❑ statement filed ❑
Undersigned attests that his State of Ca
lifornia - nfracior's License $�
is in full force itd effect and properly au}horixat } is �pls�e}ion.
San Jose CityBusiness License li
I certify that in the performance of the work for which this permit is issued I shatr not employ
any person in any manner so as�to violate the workmen's compensation laws of California.
OWNER_�1D '/
ADDRESS CITY-
USE OF BUILDING re,51 i—e
Signed !1.. .. . 1.. �/
914 SAGE COURT OWNER
280-404n .
�p Z D T T O O 0 2 S
m � N H N N o_ . \
A O
0
C 2 Z
a \ a o
1D p c
x
z
m 3
N 0
� n
� A r