31780 (2) . 7522 Bollirigor
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING: PERMIT
Lot 20, Tract 2167 Westiya
Date-------------------------------------------------195-------- Permit No---- _o V
Application'is'hereby made for a pe mif to-----------bld-.
.......................................
a.------1--------story, Type--------- --- - - --------- -----
/l�� Building
------- ......
vY�--
at.......-........................--
.... .75- 2-_.BIA-h er_Road.--------*-../---------------�------------------------------`?.,
to be occupied only as-------------------- /C!- /1 1---------------------- ---: .
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
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.
Owner... Clapae_T.. I*:tgay, �l -----------------------Address---29i Upf ejd-•° io-------.
BY ' ~ -------Address
UA 3o.4P1a1r8
ntrdifor, Wont Iwenlk
California
Form 280-1
RECORD ,OF INSPECTION
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Foundation...... ---- ----------- F&�4'
.............
stucco—-----------------
........................................ S ........... ...........
'f9 739