289546630 ' John Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
40 r p
Date------ p -
---...... .. -.t Q----.....195-- Permit No -------- ��..Qp --:4.. .........
Application is hereby made for a permit
to be occupied only as ......... /--------- �� �- --fiT .aQ:.4!.1. C/ - -----------------------------------------
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $----- 11.4490....
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 ba complied with.
,VISTA MANOR BUILDERS INC.
Contractor, Agent
Form M1
RECORD OF INSPECTION
Y,