785911057 November Drive
Tract No.
CITY OF SAN JOSE
APPLICATION
Date " a-27 , 19
Application is herebymad for a
a --/--storyy, �Type
at 05`7 /W VEMBZ ,P 'WP_
Lot No.
BUILDING DEPARTMENT
-BUILDING PERMIT
Permit No.
Iuld;ngUse Zone
-6 1c,0„/5ytiM' :occupancy
to be occupied only as/ G& 11 &e4 moi '7JYVo-{/��.�.y�re.o -
— w— Fire"Sprinkler
in accordance with Plans, Specifications and Plot -plan filed herewith. Enter. Elect.
Estimated Val a of Improvements, '$ i �!
I certif a in t e rf man of the wor for which this permit is issued I shall not employ any person
in an n s as io a workman's com ensation laws of California.
Owny Address 1,62? �0��"�'
By Address
RECORD OF INSPECTION
", —
Foundation ' FrameS- �� (.� a6w--�
Stucco I O-- pFinish 1`
1057 November Drive 7 R. L. Johnson
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