28954 866 E. Estates Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
I t)T
Date................fl... a ------195. : Permit No...... .............
Applicati6n is hereby mad for a permifto.._.i. ../..l-P...................................................
°---------_/.._..story, Type---. .. . - ---- ------------ - .......................... .... Building
� ----------------------- --------------
fo be occupied only as------ ------.2 F9M-----2- Z5------------ ---.........----. -- --...-----........---- --
in accordance with Plans, Specifications and
//Plof-�plann��filed herewith. .
Estimated Value of Improvements, $..........1.. ..tGGeCL...
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.
ASTA MANOR BUILDERS INC.
Owner-------- - ................. ------- ....................
------. -- _.Address.
By......... ... 6L - ------Address.z�k).....�
----
Contractor, Agent
Form]&FI
RECORD OF INSPECTION
—02 S S't iJ/`7
Foundation------.....• ----------------------------------- --.From ••/
Stucco......--................ ...
....Finish ...........
' �� � �• � � � ' -