28954 869 Brent Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING �PERMIT
_LQ1L'z_4.
Date.... -fa.------195A.... Permit No........04?_f ........
Application is hereby made;g5 f at p ermif to.....-. Wlk—P.......................................................
e------"--4------.story, Type .../
- -------- .......................................Building
at........... ------- .. .. .......
--- - ------------ .....*.......*"*-- --- --------------- ---- ---
--_----------------
to be occupied only as.............. - -------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements. $.--------1.0
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,compiled with.
VISTA MANOR BUILDERS INQ.
Owner_-.......................... ..................................Address... ...WM. .......i..
By--------5, ...I------------------Address...c_� D
a.L....*..... ... ..i ...�Ewll&p _&elul -
. ....................�Y.................
contractor. Agent
Fwm 280-1
q f RECORD OF INSPECTION
Foundation -J.- -S v - n N� - Fr rn- -_off '
Stucco.......................
--. Finish