91660 7373 'FALLEN LEAF LANE
UBC 1973
Tract No. Lot No.
CITY OF SAN JOSE _ BUILDING DEPARTMENT,
APPLICATION FOR BUILDING PERMIT �,..�
Date 19P��ffr^^i+
A�jplication is hereb a e ff000rr a permit to ,Z26— —
a `-��jsto'ry,�Type �( JL �uilding Use Zone
Occupancy
Parking Space
to be occupied only as 3Zl1iy�J
in accordance with Plans, Specifications and P,l��,of�-'-'l-awn fiil�lleyed��h��erewith, Fire Sprinkler
$ '7LW61JLf/_�� mer. Elect.
Estimated Value of Improvements, _
1 certify that in the performance of the work for ,which this permit is issued I shall not amploy any person
in any manner so as to violate the workmen's compensation laws of California.
CV
'Owner ,Q gtQiQ S D S Address 737. WF LN. S,✓�.b:s6,
Address /A'7121' Err1o?71 2 ✓%
RECORD OF INSPECTION
Foundation* //?/,a
Frame
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Stucco �1`[y Finis14��
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