41874 7915 Fall Ct.
CITY OF SAN SE ' ' BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ------...... ... Lot No. .................---
Da+e......._/ ---- 19.JG! P mi+ No.--`..... '7�----.:r.:
e�in d lri t�
Ap ieation is her Y a er t to - _.. - ........
a----------------story, TYPa--- .. -O ------- ------ --......-- ---....---... .......-...-- --..._:....---.-_ Building
le
�- l� '
/. / ^ !s�•� �����Use Zone .. .-.-....
at .. / - --- --0- ...//_..tt .
> Occupancy �. - ------
to
..
+o be occupied only as ..�?If.(/._ r"....... Parking Space ----------------------
in accordance with Ple/ns, Spe rfica+ions and Plo+-plan filed herewi+h.
Estimated Value of Improvements, $-------
4
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and ell other
laws applicable to the construction, location, and use of buildings within the City of Sen Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per
son in any m'anlner so acs to violate the workmen's compensation,laws of California.
Owner (V cJ.W a -----------------------------Address G ( S rA ......0-i.............
�1 Q
contractor l�aln�2 �I Vfa ��L 41 El'q .S-...Address _�.. ._.C�. ws-cu -..�.... ...
ByAgent.......................... ................... � n o
�`4Wtk7ma11 $ `I0. CIa+�
Farm sea-I 7915
RECORD OF INSPECTION
Foundation ----------------- ....... ----------------- Frame ._......------------------...---------------__-
Stucco
----------------- -- ----------------------- ------------
Stucco --------------- ..-`-------------------- Finish --- ----------------- ---------------------------------
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