71429-V (2) 5873 Bollinger Rd.
Tract No. /On Lot No.
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CITY OF SAN JOSE BUILDING DEPARTMENT
` APPLICATION FOR BUILDING PERMIT
Date 19de� /5 Permit No.
Application is hereby maoermit to / O�
astor Type Building Use Zone 40L
It �,t's'(L'/�C:- Occupancy
to be occupied only as_ Parking Space__
in accordance with Plans, Specifications and Plot-plan filed herewith. Fire Sprinkler
Emer. Elect.
Estimated Value of Improvements, E
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manna Was as to violate ho workmen's lompensation laws of California. /�_ q
Owner_ Address -��•�7 �� 4.6 oke, (/L UPJ•
By .1R�2 Address
RECORD OF INSPECTION
CpTION
Foundation 45,13 O—�"7-z zi�tJ/H Qhc-- ..
Stucco�����c�UGt��Finish
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