96264 X7,57,7 BOLLINGER,ROAD SIVA
Tract No. 57 P2 Loi No. 3
CITY OF SAN JOSE BUILDING DEPARTMENT
F_
APPLICATION FOR BUILDING PERMIT
Date ( —Y , 19?(4� Permit No. '
Application is hereby made for a permit to ,Luo
a_,�,.__sfory, T pe L IRES Building Use Zone#?IIT~
at rr�� G j 1 Occupancy
to WeSodcu�ied only s (� Parking Space—
in accordance with Plans, Spec fications and Plot-plan filed herewith. Fire Sprinkler
Estimated Value of Impro me ts,
f� rwa, Emer. Elect.
' I certify that in the Darfor he wor i ad I shall not employ any person
in any m or as to viola workmen' cornia.
Owner P, It/� Z Address w�/_ug:r#
By Address
AI , RECORD OF INSPECTION
Foundation ��//.Q� Frame ,'a2�
Stucco '�"✓�^ � """"� Finish ^
e��76
1x260-691N
—
V7577„ BOLLINGER ROAD DEMETER BUILDERS y, 5Da2v
w i
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner .❑ statement filed ❑ ry
Applicant attests that his State of California Contractor's License #�p o OSY
is in full'force and effect and properly authorizes this application.
San Jose City Business License #
lde� �1Pv
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280-601 N