2658 (2) 7373 Fallenleaf Lane
Tract No.— Lot No.
CITY OF SAN JOSE BUILDING DEPART�7WENT
APPLICATION FOR BUILDING PERMIT
Date A 7 Ig-7 7 _ Permit No..JyC.591
Application is hereby made for a permit to _
a Z story, TypeBuildin Use Zone
atJj= 7 O �a _ Occupancy
to be occupied only Parking Space
in accordance with Plans, Speci ications nd Plot-plan f��ileed/'d herewith. Fire Sprinkler
Emer. Elect
Estimated Value of Improvements, '66
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the workman's compensation laws of California.
Owner- Address
By J 4106 Address ALM, T Nti XJ.0mZ34
RECORD OF INSPECTION sqN osE� ria fsra6
Foundation D ///JIQ Frame) 5 —�-72244—
Stu�o 6-1- 72-AMS. Finish _
tt_� �—--260=601N
7373.r^E 1Teni, of
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑ p(�
Applicant attests that his State of California Contractor's License #
is in full force and effect and properly authorizes this application.
San Jose City Business License # LV / — 13 91'Y
-
1 No Rao,i(
s w 7-pi ��h 3=a7-J7��r�iw.P
260-601 N