89789 920' SAGE CT'.'
Tract No. 4-53 6 Lot No. UBC 1973
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Dist e 1- 9�' 19_Z ermit No. n��
Application is hereby made for a permit to c 11 oo Y
a story, Type Building Use Zone
at q 9 � C'y' Occupancy
to be occupied only as (il '_V. ng Space
ire Sprinkler
in accordance with.Plans, Specifications and of-plan filed herewi#h. Emer. Elect.
Estimated Value of Improvements, $ 50 O t.
'I certify that in the performance of the work for which f t iC� e PRY °^Y Person
in any manner so' "as oto'violate the workman's compansatio v of 1'lon;
Owner_(J_&i.&_L1L ,s! Address 9 2 0 Sd.9e-
By_LIPACH E- Pon /c Address -72 $O Q Ai e //_3L4�J
RECORD OF INSPECTION
Foundation 7 Frame
Stucco Finish
920' SACE CT. HAMALIAN
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