88840 10-43 NOVEMBER DR.
Tract No. Lot No. UK 19%a
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT poi)
Date 19 Permit
Applicatio i hereby maid for a permit to
a—1 stogtype B,ill -�Us onevel—
at /O �Lw_ �_I?�rs ccupency
P rkingySp`aEe�
to be occupied only as - i �� I
-6 Fire Sprinkler.
in accordance with Plans, Specifics+ion ,and Pfo+-plan filed herewith.
$ `�.�e� Emer. Elect.
Estimated Value of Improvements, �.
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as To viola} the workmen's compensation laws of California.
Address\��"�
By Address
p RECORD OF INSPECTION
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1043 NOVEMBER DR. - PRICE .
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