23477 6790 Bollinger Rd. Inland Enpire
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT /�
Date "Ps'i ✓ttA-✓y------------1L.........195.6--- Permit No._��.... -4-7�...
Application is/ hereby madfora ermi# to........ u...�................
a............I-------story, TYPe...----... ... .. Q ...... ... -`1 9-`�er-{..................................Building
a#-----...-( ---------------&V-!I'y. v........'"`..^."-a....................---.........------- ----........-----------
to be occupied only as......................../-----------40-
Estimated
41A6>-�`f-- ---- .
in accordance with Plans, Specifications and Pled h r wif
Value of Improvements, ---C/.--
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.
Own`er � "
'✓Cf_.C�u1 f. r... ��✓..-'����.....Address.2dD�Y.._ IIt .......... -----
By....... .. - ... ---e. .. .........Address....... ........`............------... --......------
Contrector, Agent
Form 280-1
RECORD OF INSPECTION
Founda+ion----------_.-_�-
$+ucco-------------------------------
----------------- -----------.-Finish. ..— -------------------------------