28954 845 E. Estates Dr .
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR. BUILDING PERMIT
G ���—iQ3 p
Date--......------D----- .._.....195-�.. Permit No.......p�{- --1-..lam. ------
Application is hereby made for a permit to.-- .................................
a-......----1---.story, Type------ - - --.. '....- -- -------------------------...----...--------------Building
to be occupied only as......... ....f�.11.��.......1. �:: ...�-
accordance with Plans, Specifications and Plotplanfiled herewith.
Estimated Value of Improvements, $.....----l .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
loff,,San Jose, will be complied with.
Y1STA MANOR BUILDERS INC. Address�T `l..Y/ '�t y� ......
Owner.------......-...........................--
By-----9--Zgr.................. .............Address--- . .......
Contractor, Agent
Form 181-1
RECORD OF INSPECTION
Foundatio. n.... ...F
ram .......
... . ..6. .. 1stucc0.-. --------------- - ------------------------Finis :
3 J-6 m
013
/V0