28954 OP 6
CITY OP SAN JOSE ..... .. BUILDING DEPARTMENf.
APPLICATION FOR BUILDING PERMIT :1+04
L 6
Date-------...... •-1J.----7-- 7-
�R.....195-r-- Permit No....�0?1-671........
Application is hereby made for a permit to---------zl.,.4,v-------------------------------------------------
a..............
..........Building
at......A666------ - ----- ""9.77: .;..... -
1-s". Type o�� " - - .................
A666�...........
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to be occupied only as------ ......*.Ak------7,!Es- ------------
in accordance with Plans, Specificationsr, an f
Estimated Value of Improvements, $.....
It is hereby agreed that the requirements of the Son 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.
Owner
VISTA MANOR-�UILDERS INC .......
.
.
..... ......Address-V ...40K��.b
-----------------Add,essz?A)... z.
1. 7"w"Re ...
-;......04
contractor. Agent
Form 280-1
aa .
••RECORD OF INSPECTION
Foundation......
1 —J..- � _lf" /�I-----
.......
Shcco------------------------------.............-......--...........Finish...