76144 1025 Noveni�er brfve
Trac} No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION Fl()R BUILDING PERMIT !�
Date 3- 2,2 . 19 /L) Permit No. L �
Application is hereby made fora permit to Q - P X&
a story, Type C Build in Use Zone C '
a+ ".� Z,PIOccupancy
to be occupied only as rKx. Parking Space—�
Fire Sprinkler
in accordance with Plans, Specifications and Rlot- lan'f le' i O`J /f i
///_ ` er. Elect.
Estimated Value of Improvements, $ / `ec -
I certify the+ in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner n Address /V L5
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RECORD OF SPECTION � d
Foundation / 3
Stucco 1-1J 07 Finish
1025 November Drive IFGe H. Davidson
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