683157515 Fallenleaf
Tract No.
CITY OF SAN JOSE
APPLICATION
Date -3 — A2. is
Application is h de for a l�,� /
a _4 story, T e/ ui1fN8�/ Use Zone A�f
L G �� � Occupancy
to _
to be occupied
/upied only as e>6 C,/L Parking Space_
oll Fire Sprinkler
in accordance with Plans, Specifications nd Plot -plan filed herewith. /72
Emer. Elect.
Estimated Value of Improvements,
1 certify that in the performance of the work fpr which this permit is issued I shall not employ any person
inany mann o s to/v-iola} the rkman's,crompenotion lawsofCalifornia. /J
O /
wner f y Address /SVR 2cc.ti
B dMA� Address -LY
RECORD OF INSPECTION
Lot No.
BUILDING
FOR BUILDING PERMIT //��
21 Permit No.A
Alit
DEPARTMENT
Foundation Frame
Stucco Finish
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