28954 88 E. Estates Drive
CITY O� SAN JOSE BUILDING DEPARTMENT
APPLICATION
�y FOR 9R .BUILDING PERMITLAO T,
Date----......- ;.'- -----.195-Z--. Permit No.......0A---I............
Application is hereby mad for a permit to... V�L-A _... -----------------------------
a............
Q1......story,Type------- ---------- 4- - --- .....: .- - - .........................................------------Building
at..........`= a A��t �{1E..... ..i....T yr . 1/(-'-/F-.:.. .._.... . ................ ... ..- ...--.......
to be occupied only as---------------- ( -i-- --
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $----------- ---
It is hereby agreed that the requirements of the Sen 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 INC.
Owner.-'--- d
- Address.-- - /.R��Ur...&.--U--
Lf.....L
-------------Address55R
BY K '
D
Contractor, Agent
Form 280-1
RECORD OF INSPECTION
Foundation--...:_ �'¢f.�D��/
Stucco..................................................... F a_yJ.S� G s r� ��✓
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