28954CITY OF95AN JOSE E. Estates Dr. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Q //� 14oT 147 n Q p
Date-----...... - V__-.�.�/e. a.......195 -G .. Permit �No------PIL..L-J�—� :-....
Application is hereby
a .......... I -------- story, Type --
to be occupied only as ................. I --- FA)4A...... ` "r=9;.!----------------------------------------------------------------
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $--------- 149--000. 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 of San Jose, will be complied with.
'VISTA MANOR BUILDERS INC,
contractor, Agent
Form M1
&v..D
RECORD OF INSPECTION