28954 666 Clifford
CITY Ot5 SAN JOSE _ BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 40Z
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Q ! .......195-g-- Permit No....... .-
Application is hereby made for a
per I- -
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........................................Buildinga... -I- story, Type..._�
at ---------
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to be occupied only as.----------.../.....- � u-f..................................
in
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in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $......../-Qy-.Q,00. _�
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 /% Lim
Owner .......:.....................--------INC._...... - Address-..-/....--
BY--------------.--g'---- AddresscSA e�z.-WA!P✓...-- i4L.
Contractor, Agent
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'RECORD OF INSPECTION (
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