74050 1016 November Dr . ✓ . � -ti��
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT /' ���
Date , 19 72— Permit No. /—7'1 G
Applica#iohereby made�fo permi# to D j r X a.�i_� .�
a story, ype �- ui ding Use Zone I—
at�(iAf p—tL�� Occupancy
to be occupied only as ''➢ �a L+ CisgParking Space Z<
in accordance with Plans, Spa p9 —tt-plan i h r� / rca. nkler
Estimated Value of Improvements, $
( 5� er. Elec#.
I certify that in the performance of the work for which this permit is issued I shall not emplloy5 ny`p_4 rson
in eny manner so as to violate thelwo men's compensation laws of California. s41
Owner I3 { f Address X 0 f 6 /ffQ V�tti f3/ �? l7Jr
By Address
RE RD OF INSPECTION
Foundation Frame
Stucco cFinish
= 1016 November Dr . / H. King
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