69579 (2) 7464 Fa11enleaf .Lane
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ��ss QQhh�
Date — /!y , 19 24 Permit No.4� J�
Application is hereby m C to
a-1'—story, TypeUse Zone ���[�Occupancy
to be occupied only as ^�fF'�
ring Space
Fire Sprinkler
in accordance with Plans, Specifications and Plot-p�filedherewith. Emer. Elect. �—
Estimated Value of Improvements, $ 9r-a7'R-
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 workmen's compensation laws of Celiforynie.
O na /`/_h_-li Tkw�o Address IJ �/ i a/�e.-/mak t, S-a—
BycdAddress
COR OF INSPECTION
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