4341 914 Sage Ct.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �'7 '
Date 7—// 19 77 Permit No. 61{B`f/
do iA 2-A
Application is hereby made for a permit to o�� �� /Z..
.;.
a �_stofj,Types , Building uSoZ�0 Use Zone
at 1-1 n-t- . Occupancy
to be occupied as Sq. feet .
in accordance with Plans, pecifi ti d t- an ed It. g Space
Estimated Value of Improveme Sprinkler
a Enver... Elect_
I certify that in the performance of the work for which thiA is isy� VM1UY ny person
in any manner sees to//violate the workmen's compensation Is
of if V 1 /^
Owners-1. Address 9�r` C'� —_T_' � C/f-Y�7•�f�
13Y v� Address
This permit shall expire and become null and void if the work authorized by it is not commenced within
120 days from the date issued or if the work is suspended or abandoned for a period of 120 days after
commencement.
FINAL INSPECTION
om _ 260-601 N
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\em�fromr �
/ requirement for State of California for Contractor s License is hereby claimed i
Y applicant:
as owner M- statement filedEJ I
Applicant attests that his State of California Contractor's License No.
is in full force and effect and properly authorizes this application.
San Jose City Business License No.
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