48334-V (2) 6191 Bollinger
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.-""------ -..Lot
.Lot No........'-----'--.......-
Data
..................;t....z_
...% Perm No.--'4-e ;.......
Date------- . . . . ........................ :,-19:_b.....
Application is hereby wadq for a perm,�tf to ... �i.................................... ............
a-- ../ story 1h,.....z�_t C...f! 15
-------- ... .. ..... 9................... ........�wvi... Building
- I Use Zone.:._;1e_._T
at ....��li.....16 Occu ancy.-.... `-✓--------
to be occupied only as ------ - .................. Parking Epace.........................
in accordance with Plans, Specifications.kind Plot-plan filed herewith.
Estimated Value of Improvements, $--- ...........
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 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.pengn in
any manner so as to violate the workmani cc s tion laws ofrnia.
311on
7 .. , - ----------
Owner.. -------- Address-
Contracto U
Address. . . ...
SI
ByAgent... ... . .. .. ...... .... ------ ----- ----
6191 Bollinger Presbyterian
{{ 7 RE5ORD OF INSPECTION
Foundation---•I...........---/--.Zs - �� (K.. aFf me...... .iOu c-!`'v. C
6 ,
Jstucco----------- ---". `^ '--------------------------------Finish.........................................
-...-.........---.....-------
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FOnm 260-1 —IO.-2/65