28954 CITY OF SAN JOSE Brent Dr. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT '404
Q per'
Date---......... Q... d -----..195 �j Permit No.......bLl.-=l-�� :.�1......
Application is hereby made for a permit fo--:...Y�- I T ------------------------.......------------------
a---------til------story, Type.. - - - -- -- . . -- -- --------------.........---------.Building
at---.... -7f--------- - - - - .-.....- -
+o be occupied only as--........... ..........................-.
in accordance with Plans, Specifications and Plof-plan filedherewith.
Estimated Value of Improvements, $------../10 aav--.�-
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 g3�q /yJp�/ yP71/U�T'.___.QLI�J
Owner--- ------------- -------------_ Addres .....
By---------- t 7Z .li� - .Address..�c� _-
contractor, Agent
Form Ml '
RECORD OF INSPECTION
Foundation-----�.I:
- .. ..........................................�Uf...............
.................)�. ....................I..., -...Fa -lq— 4�p- -fVp
Stucco..................
—............................ ....Finish...
Finish...1
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