38609 %Mi , Bollinger Rc�.
AN JOSE . BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ..7-- Lot No. ..� % 1?L /
Date-----------------------�47
:n --------------
---- 19..C2to- Permit No...J._V.6.0 1.
Application is hereby ade for a permit to .---1 .4I?.............._........--...............................
p �_ - Building
a..0l�E --.story', TYP - - _ -- 7� .'- ?-.............._.---- ------..------ g
Ivat ...4.-Y...�f�.'. .]....-- -A- - -. ...-a Use Zone ---..r.�.._...
// Occupancy ..... 4..... .. .
to be occupied only as -�kJg Parking Space ---------Z---
in accordance with Plans, Speci ti ns aan�n''d. of I n fil r th.
Estimated Value of Improvemen .Q�.. �...
it is hereby agreed that the require ents o +he $en Jose Building end Z nhq Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per
ensation
fornia. z
son in any manner so as to violatethe workmen's Addresslaws %ali7� �� ���
Owne /f�s ..��C 1:.... K .
Contrec+or �� /J —
BYA9.n} ---------------Address
Form 280-1
RECORD OF INSPECTION
Founds �Fram
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114 47