28954 6625 Clifford
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION' FOR BUILDING. PERMIITpp�03
Date------ ._
-- Ef:'--Z..V..._ P
........ 195. - Permit No.... .4..1..5- -
Application is hereby made for a permit to.....- U'l�
a............1....sfory, Type--- ., - - : .. ..' ---/ -......-----......-------.Building
to be occupied only as - 1...j . .. f �"t- -----------------------------
in accordance with Plans, Specification n of-plan ile ewifh.
Estimated Value of Improvements, $.....-.�-Q
J
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.
Owner YJSTA MAJN0RbUILDERSjKG--.------Address.d'�-.�1`.- ��t Y��v ------�U-r-
By------.... r /� "��"sk`.............
Address-5 ..e� t r1 J...L! s
Contractor, Agent
Form 2904
RECORD OF INSPECTION
Foundation.._9�//•- -}...............- --
/ t, g
Stucco---.................. .... - .....-.. - Finish..� _LJ
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