26975 7465 Fallenleaf Laurelhurst
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
IK—-----195 P No..--.
Date........................_j/_497// �7 re
Application is hereby made for a permit to--------- ...................................................
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//..... ..... -----;------- -----------_-----------------Building
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to be occupied only as------------------- ------------'----
in
---------......in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $_ -------/�? C9 0 e?
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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.
OwnerAddress........................................--------------_-----------
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ntractor. Agent
Form 280-1 7465 Fallenleaf /Q —.5J Green Bros.
RECORD OF IN
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