96264 7565`WLLIN0ER ROAD
Tract No. 5722 Lot No._�
CITY OF SAN JOSE. BUILDING DEPRT ENT
APPLICATION FOR BUILDING PERMIT 96 2-6
Date_ 19-7—�P—__ Permit No.
Application is is ere or a permit to &0
a_�^ _story Type £�E_ _ Buildin Use Zone Q..1_({_lp._
a+ �TToT��LL//y_ T_ ipm)ccupancy
S Lc ' Parking Space_
to be occupied only as
in accordance with Plans, Specifications and Plof-plan filed herewith. Fire Sprinkler
Emer. Elect.
Estimated Value of Improvements, ;-*2
I certify that in The performance of the work or -this a 't d I mploy any person
lin any manner so as to violate the workmen's o sa ,on Is' f o e
'Owner MET a/J0�� 3— Address a /�4 /LD
By Address / �d A
RECORD OF INSPECTION W f
Foundation (, _i4�1 Frame 1 �,/? - ��'
Stucco A Finish
7.565 �p ��G 260-601N.
may, BOLLINGER R DEMETER BUILDERS
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