63993 1047 November Dr Duk vcc
Tract No.—Lot No.-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT v, r
Date ig 7 ,D Permit No. G
Application is hereby made if r a permit to Lam' -ti „I �.�Im— , 'ta
a story, Type Bui ding Use Zone R-
at na,_ �J �/� Occupancy
to be occupied only as Z — /�W4 " e/a'rk�g+Space
in accordance with Plans, Specificationsran'd Plot-plan filed herewith. Fire Sprinkler
f9�
Estimated Value of Improvements, $ J 5'n rT
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any�nneiis toiGiole}e thawni
so
norkmen's 2opansa}ion laws of California �
Ownei A/ Address/0
Address
RECORD OF INSPECTION
Foundation Frame
Stucco p Finish
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