38703 Fallen 'Leaf Dr. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ............ ..... Lot No. ....................
Date....... f/ ....
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Application is hereby made or a permit to
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- - ---- ----- --- -------— Building
a----------...story,: Ty e.-..:7 . A�---- --- ---- I -
at - --------- ---- Use Zone*.-'
U_�-----------
Occupancy ----------------_---
to be occupied only as Jnr
arking Space ----------------------
Spe- r, 'IV
in accordance with Plans, cificafil�sisfi�:��,o�,�pa�n fi�ad herewith.
Estimated Value of Improvements, $.. V......_..:.......___...
It is hereby agree&that the requirements of the Son Jose Building and Zoning Ordinances and all other
taws applicable to the construction, location, and use of buildings within the City of San 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 manner so as to violate the workmen's compensation laws of California.
Owner &_1F 44,Y6,-12 _.................Address WOV,1'9
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1)-----------
Co.trador
ByAg.nt ......................Address --------
W94'rat�le
Form 2YI 7 7�' n Leaf Lane Lee Wenger
RECORD OF INSPECTION
Foundation .... ..... . ..... ........ ... Flra 2-�,
. ........ me --------------------------
Stucco
-------------------- ---------Stucco -- --- --- ------- ---- ------------ Finish ------------ -------------