28954 868 Brent Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT "1-03
Date
Permit No....... ..........
.........I.............e-------
Application is hereby made fol Permit to............oa/ -- ----------------------------------------------------
per
a..............)._.story, ........ ----- _ - .. I ...........................................Building
at.......86e........ZPTAV.17---- -_ - ----------- ..........................................................................
to be occupied only as--------...../------- .. .... .6/c----a..........................
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in accordance With Plans, Specifications and Plof-pla e herewith.
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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.
VISTA MANOR BUILDERS INC.
Owner............................................------------- -----------Address
BY-
FX2.:- ..
At....:27/7
.... .....
Contractor, Agent
Farm M1
..RECORD OF INSPECTION
Foundation.....91!9:759........r')......-------.Fro
Stucco-------------------------------------------------------------
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