28954 865 E. Estates Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT"
Date........................ Permit No......�i�I ---------
Application is hereby ma if ..
°..........-A...... t T-- ,- �..--- -'7f. ::z7!'--5! -- --- --.--�C.l-v...............`-----._.-Building
88 rY YP
to be occupied only as...........(' '- 9/11..--.'.. x—�5.......................................... .......................
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $......... �--vr Dom..
Ca
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 INC. 2b
Owner. - -- I--/--..... .....Address X./J !Y4�.
BY- - �fi� .....-..-...Address.c�.24
f.... s �{/� .....G�e��r
Contractor, Agent
Form Id0.1 ,
RECORD OF INSPECTION
Foundation.......q---------------- se JP/V)
-------------------................Fram z...... ....................
Stucco.................................................... ..Zinish..