28954 665 Clifford
CITY OF SCAN JOSE . • ,BUILDING DEPARTMENT
APPLICATION FOR -BUILDING PERMIT 402
• I_nT I C3 Q
Date ..................... - - 195Q.... Permit No.......a�O.. ..y----------
Applli/ication is hereby ma for a permit to........ �1f� ...................................................
a.--------{-------s-story, Type.. - ....------- .......................Building
00
at......---jO..fG/=�a?..., ....-- .--FQ4 p.... ' ..... .................I---------
... ............y
.A. I.�jJ
to be occupied only as-------...--. 9 - ' --- - ------ - -- -- ...[✓- ..............I---------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $_------1�. ...
If is hereby agreed that the requirements of the San Jose* Building and Zoning Ordinances and all other laws
applicable to the construction,.Iocation, and use of buildings within the City of San Jose, will be complied with.
5!ISTA M.... BUILDERS In.. 3/� /�AC4910%119R.--:�i%/3
Owner-•-•--------------------------- --- ................ ...Address._ ..--�----�- - ---- - --
Address....... ...... .
Contractor, Agent
Form Mi
'RECORD OF INSPECTION
Foundation---. .. . . . . . . F
.............
Stucco........................................................... Finish...// .......... —-------------i