28999 (2) 7hFailenleaf Lane
CITr
I;F SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
/o;'- If —7W'1 1137
Date-----------------------------;P[- a';.....196-9- Permit No.---2.x3p�p 9
Application is hereby made for a permit to..... ;?P/C=/
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a----- ------story. Type- X,1700 ---------- --------------Building
at----1.4—f.317---- ---- ----
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to be occupied only as-------------------- —- - --- ------- ----- --------------------
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in accordance with Plans, Specifications- n Pi.l-p an eVh'o ew
Estimated Value of Improvements,
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
applicable to the construction, location, and use of buildings within the City of San Jose,,will be complied with.
Owner. �__amvv4j aAXt4....Address_
By- - ----- ---- --Contractor, .........................:..............Address......... .......................................
Contractor, Agent
F-201 7437 Fallenleaf Manul .Villarreal
RECORD OF INSP..E..C2T'I-ON
Foundation.------9- 1)
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Stucco------ --------------....-------------------------------- --.....F
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