28954 CITY &&SAN JOSE Brent Dr. BUILDING DEPARTMENT
�A%PPLICATION�J FOR
BUILDING PERMIT
Date
p
Date.--._...............11_--_ --- .195.0...-- � Permit No.----.-cl. .:(.. . -
Application is hereby made for a permit to-------... ..................................................
a.............1......story, Type r....
�D�-�-...../-- T- -p- - -- .....--------------...---....----........Building
to be occupied only es-------5�`. ....-.... .I-t+`-.-''"r-'.rn."t/y --------------------------------------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $-------I.() ' L(V.Q....
J
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.
VISTA MANOR BUILDERS INC. Address. / fX' v!e....... v ---
B �J.� -`- / k ---------Address--- Y/]�{ .......
contractor, Agent
Form I8F3 ,
F RECORD OF INSPECTION
Foundation ......----5(/ J-���.............Fr a----�d-i7-_S `_�`Dr'
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