26970 (2) 7450 Fallenle,af Laurelhurst
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date------------*......11-ell J6----------19 5;_ --- Permit.No------
Application is hereby made for a permit to_................ ...................--------------------------
a-------A---------story, Type---------- ------- ----------- Building
at... 4V-74V 7- -----------
to be occupied only as-----------------------_--.....-- ---------------------------
rf
in accordance with Plans, Specifications and t- an fil
Estimated Value of Improvements, $/'/'104.>-- ----
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.
Owner-, ---------------Address..... ........................... --------------------
- ----Address.._................................. .............-------........
By........ ...�9_
Contractor, Agent
Greene Bros
Form 28D-1 7450 Fallenleaf
RECORD OF INSPECTION
Foundation--!Q.-.I3v-_S.Z..:... J,......<Fr ............................................................
Stucco------------------_-......------ ----- - -
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