31780 7494 Bollinger
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Lot 23, Tract. 2167 Westlyn 1
Date......................-------------------------195-------- Permit No.... -. Y--.;7-0 U
Application is hereby made a permlf +o,.. ------- bl- - -----------------------------------------------------------
a..... ---story,
----------------------------------------------------------a---------1---------story, Type--------- "" - ----- --- ----------------------------------------------Building
7494 Bollinger Rod / �
at---------------------------------------...............--------------/y� _ rf Y S./ -----------------------------
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to
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to be occupied only as---------------1 ------------------ - - --..... --- --------
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in accordance with Plans, Specifications and Plo+-plan filed herewith.
Estimated Value of Improvements, $--- ........
If 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.
Claude T. Lird;a 1 291 Linfie!d.Dr..
Owner..................- - R�--------------------------.Address-------.....-
OA 3_d118--------------------------------
By------------ . - -- Address. Menlo--Park
+ oder, Aa•n+ " California
Form 180.1 ,-
'�rs
'RECORD OF INSPECTION
Foundation---- Fr
stucco-----------------------------------------'-
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