27185 ?478 Fallenleaf . - Laurelhuret
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
r J
Date--------------------------111 ; -e-------197- .... Permiti No-----
Application is hereby made for a permit to-------------/ate- ----------------------------------------------------
a.... Z------story, Type-------
<5.....i��----------------Building
at.....7-4-79 ----------------
----------------------------
tobe occupied only as------------------------ - -- -------------------------------------------------------------------------------
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements. $./A6 0 0.0.
It is hereby agreed that the requirements of a 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-----�I e e,- -.e., rVzs----------Address....-- ---...................... ..........I------------------
-------------Address---------- ---------------------------------
Contractor, Agent
Form280-1 7478 Fallenleaf S7 Greene Bros.
RECORD OF INSPECTION
-s-7 A IE- j
Foundation... ............................I V
/ _
- ------------------------------
Stucco--------------- --------------...