58387F 914 Sage Ct.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION. FOR BUILDING PERMIT , _ Y
Da+e �l ! 19—�� Permit No, JC ��
Application is hereby made for a permit to
a/sfory, Type lP�r�' Building Use Zone _ f--
9
at v¢ M, Occupancy e"
to be occupied only as �i�ieS Parking Space
in accordance with Plans, Specificatio s and Plot-plan�filed-herewith. Fi�re Sprinkler
Estimated Value of Improvements, $ �3e "�L(/ //r/�✓ �/
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
in any mann so as to violate the workman's compensation laws of California. T q
owner Address 9 21 2<- ' eF C / -s,
B Address �f9ohI Jf_ 1033;XJAX+
y/{�j}Fco RECORD OF INSPECTION
Foundation Frame �7 p
Stucco
Finish
914 Sage Ct. 9 obert Sartwell
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ ' i statement filed ❑ qq
Applicant attests that his State of California Contractor's License #
is in full force and effect and properly authorises }his application.
San Jose City Business License # �— g 2_� 2
s
4
1�
sr
s
Form 280.1 2/68 10M