28954 882 Brent Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 4OZ,
Date---............. ............195-9- Permit ..........
Application is hereby mad a for a permit to----------Smg,"a--------------------------------.---------------.--
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,:g... . ...........------—......................------------------Building
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to be occupied only as.------.. A40 ..........................................
in accordance with Plans, Specifications and Plof-plan filed 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 IK
Owner..............................
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BY-----......f—A t— ... - -----------Aciclress��.'()..xxewp�Q-----4-!5 ...
Contractor, Agent
Form 2OD-1
'RECORD OF INSPECTION
Foundaf ion..... ........Fra5
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Stucco------------------------------------------------------------------------Finish......./Rizt
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