30284 (2) 7464. Fallenle&f
CITY OF SAN JOSE z : `BUILDING DEPARTMENT
APPLICATION �OR BUILDING PERMIT .
67—
Date--3 --2 5 ---------------- : 195.9 .. Permit
Application is hereby made for a permit to...&d.;:(-----------------------------:---------:-------------
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a.................story, TYper..12�----- FJif1! .y......'ers.......C�.7.r.- lTn.. .e,-?)............ Building
af---- -T- - ---- ``-- ..... ..... . .. . .. ........... .-----------..------
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to be occupied only as------ ------------------- �------- (!/.. - ----------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $...l 51-.5-A0--------
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.
li //ilsnn C.
Owner..... ----V:.�lC. . - Address `C..i:.S.U./MC/-E PR �� v-
----......•--�� -z1(y ....Address.... - -----------------------------------
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By-
Contractor, Agent) '
Farm 280.1 7464 Fallenlea£ Z{2 -1 Villarreal
RECORD OF INSPECTION
Foundation.......] 3/_T _ Ci:{..!-✓ c ---------------------------------
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Stucco--- - -Z f` Finish - _'_ Z ld
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