87314 1062 NOVEMBER DRIVE
Tract No.- Lot No.
UBC 1973
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �`
Date , 19 7 Permit No.
ApI' ation is hereb me for a permit to
a stor Typ Buildin U one /
a+ %O - Occupancy
to be occupied only as _ u.CPFire S Space3
t/( �'+" � • ,�Iv/ Fire Sprinkler
in accordance with Plans, Specifications and Plot-plan d herewith.
/ GAJ s 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 ail, to violate e o k a ' compensation laws of California.
Owner ? r i',iiAddress �,iZ� .✓�6f,�
By Address
RECORD OF INSPECTION
Foundation 6' 2�s 7 6't" Frame
Stucco Finish 1 76' z�
10 1062 NOVEMBER DRIVE
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