28954 862 Brent Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-------......... 2- Permit No------- ------
....... ...195.9-
Application is hereby made for a permit to-----X U 1.11'.P_------------------ ----------- ...............
a.----•------I----story, Type------ Building
-------------
aL......... ...
to be occupied only as ................. ..................................
in accordance with Plans, ecMt4c?�s Plo+�P&la
Estimated Value of -----------
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.
Owner....................... -------------Addres3
)17 7 -----&(I
--------------
...... ----
By...... .5 we
........Address--, .. ..
Contractor. Agent
Form 280F I
"RECORD OF INSPECTION
Foundation.....:... -Fra
..............................J.
sfucco................................... ......................... e...�Finish... Uld��1272�rl
.........................................................
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