76780-F 924 Sage Ct.
Tract NoZ)3� Lot No.,37
CITY OF SAN JOSE BUILDING DEPARTMF O
APPLICATION FOR BUILDING PERMIT ���
Dafe_ F _ S , 19 Permit N. 78251 —
Application is hereby made for permit to CL
a story, Tye V — Building Use Zone . �
Occupancy
to be occupied only a Parking Space
Fire •—
Sprinkler
in accordance with Plans, Specifications and Plot-plan filed herewithh..� l
mer$ 6 d fed��atl�t c
Estimated Value of Improvements,
I certify that in the performance of the work for which this er is i u s n e o eny parson
M any manner so as to violate the workmen's compensation laws of California.
Owner '_!3• Address
By /0 6 LS Address
/ RECORD OF INSPECTION R o IJ T
/ r� Frame
Stucco Finish
924 Sage Ct. Ausong
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