31780` 7512 bolliflger
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Lot 21, Tract 2167 Westin
Date---------------.....................----....195.... . Permit No..... ..�_ _ (,
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Application is hereby made for a pern't to-------_b.a-.----........../.J............---`-.............:...............
a.e....-1'-------story, Type-------------V---R .. ..... . .......- CIV.
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Building
at------....................7.51.2..Rolli.ngex—Roa-d------------
.
tobe occupied only as-------- ..1-Fame------------------------------------------------------------------/---`-_--------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improyements, $.-- ---- o------
It is hereby agreed that the requirements of he 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.
Glau+e T. lindsa , 291 Linfield Dr.
Owner. - .. Yum .-- Address ?A =4Y io
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.-Address..---------h---- q_TAL4y_ r, . -----------------------------------
California------ --- --
c Factor, na•at
Form 2801
RECORD OF INSPECTION
�a% e.....
Foundation----- "A Fr m
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Stucco................................... <Fin�h.M/
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