28954 Brent Dr.
-CITY WSAN JOSE ...BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT I-V :L
Date.......................g...:�7A....195- Permit No.... ..........
Application is hereby made for a permit to.._... v, L,-p.............._.....................................
`a................L,story, Type...... - ------ - .. .. . ................... --------------------------Building
at......x67&..... .. .. ........
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to be occupied only as--------------/- . ................................
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $........zo_10-4-ea E4.0
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 complied with,
Ow.ner VISTA MANOR BUILDERS 1% ...........Address3J.57------� -1-7 44�
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By.............!FX:A=:----J5� . . ..............Address....!v�...... ....2'0744�
............
Contractor, Agent
Form 280-1
..RECORD OF INSPECTION
........Frarne....../ ::i/
Stucco....................................... .............--woo.010.0. ish...
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