25226 (2) 6191 Bollinger
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Da+e. '�------------ ------- -/ '-.195 Permit No....... -S Z -
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Ap ication is hereby made for a permit to..---....• `.C7.....-�....,�:�.......................r............................
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to be occupied only as:-....:� . . -- ..� ... . �� -fes!................
in accordance with Plans, Specificatiorr,��s and Plot-plan_fled herewith.
Estimated Value of Improvements, y------
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 o'fnSan Jose, will be complied with.
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.... ddD.. o..B Contractor, Agent qr-� Ave
Farm 280-1 6191 Bollinger q�. -i7Cupertino Pres . uroh
RECORD OF INSPECTION
Foundation-2 15-5 7 ----------- --------- Frame-------
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Stucco -------------- f, - ----- --------------Finish...- ----- -- ------ --------------- -----------------------------
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