23477 (2) 677+ Bollinger Rd. Inland Empire Bldr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR6BUILDING PERMIT G
a
Date ...d ---�- - - 195.&-�. Permit No..a�.._�--.-.`.----
1
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Application is hereby made f
_12L4 permit to..- .. . . . .. ...................................................... -
°----------I........story, Type...... ..... . .. . ...............................................Building
at----------- ?..1-77 T.------- -- - --- ------ - -- -------►""'.t..... .... .... ---...................----------
to be occupied only as.................. . ..... ` - - --.---- - ... ..................
in accordance with Plans, Specifications and t• r�:filed ifh.Vv
Estimated Value of Improvements, $;.. �Q .Q.--_—
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 Sen Jose, will be complied with.
Owner Rrr..•A:. - Addressr 0. y.._ .....ir
. .Address....................................................................
Contractor, Agent
orm 2801 _
RECORD OF INSPECTION
Foundation------------��----�--7"i--��---L....IZ?.Y...._ __Fram -----------y '-Y--=
i Stucco-------------------------------.-------------------`--Finish-----------------
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