NO PERMIT NUMBER866 Bette
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION- FOR BUILpING PERMIT
140 y- 55 /
Date -------------!1160 A i Z0195f. 0410 2 ' Permit No .........................................
A licati1's'her ma e f permit o..-..._. ✓'� p
PP* . il'"i . ✓J �- >f1 r:.� ......... - .... .._-----------
on
to be occupied only as - ---.....--- .........................
----------- -- ---
in accordance with Plan , pe lcatiors an Plo+-plan filed he
Estimated Value of Improvements. $.-/.Q6 0
.
- --
.�-------
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.
r
'VISTA MANOR BUILDERS INC,
Owner -------
------------------------- %�-7'' =
�s� -
Contractor, Agent
Form 180-1
RECORD OF INSPECTION
E ZIVO S -
Gc�7-/Y'7" 7