28954 (2) CITY a13AN JOSE Brent Dr . BUILDING -DEPARTMENT
APPLICATION FOR 'BUILDING PERMIT/9'r//'
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Date..........................u ..-x .195... - Permit No........0J?.9_S_.!-........
Application is hereby made for ermit to.-------- -Ulf-�
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° ��`pp...... tory, TYPe .- //- --.. `------.............Building
at.......f/7a.....--�t�---�3-xN---T..... ----- _'-- --- ------------------------- --------------------------------------------
to be occupied only as------1....A.514CL_a.... 6 ....--..0.0. .f/ .................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvemenfs, $---------,l�.Q�.--.
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. Q �/ AW _/P
Owner.........................
- -- Addres .1 �'r ----- 7,- - ..............IGD.
BY........... ....... - - 44:�Jk-.- -_------Address. --..
Contractor, Agent
Form 280-1
RECORD OF INSPECTION
Foundation.--•- -- . ..r).._- ---- l -------------Frame ..
Stucco------------------...........--•---•------------ --- -.
---------- F/ imfhl --,I -�'/l
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