62591 7463 Bollinger Rd
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT // Aw �
Date �'�9 19 6y Permit No.
Application is hereby made for a permit to 641111yof A96e'
astory, Typeg/ Use Zone
at / Occupancy /
to be occupied only as Perking Space
re Sprinkler
in accordance with Plans, Specification to#-pla4f'( rj
Estimated Value of Improvements, AO �
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
a� Address C ��
INSPECTION
Foundation 6-��_.G J_f^'+� Framx /40'
Stucco pFinish
7463 Bollinger Rd / Devine
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