28954 (2) 6 22 Clifford
�CITY 0 SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-----..........�:_�...........195.k Permit No...... ---------
Application is hereby made for a permit to----------------------------------------------------------------------------------
a............. ......story, Type.�;6 .. . ......................................Building
at_........0.4&.Z_2..... C. .......�1 -----------------------------------------------------------------------
to be occupied only as-----.....- ..kf�------------------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements. $-------1 �o� 'Delp 00
... ---------------
It is hereby agreed that the requirements of the San Jose Building and ZoningOrdinances and all other laws
S
applicable to the construction, location, and use of buildings within the City of an Jose, will be complied with.
VISTA MANOR BUi.DERS INC. E/Y � ez-4110-
Owner..... . .. . ....- . . . . --------_------ _Addres4 � ......
By....-:........ x44 _ ----Address... ------V..e -6"qz- ,
------------------
Contractor, Agent
Form MI
RECORD OF INSPECTION
Foundation-......�P-; 1 �D �1- ....From
Stucco - ............................................ Fin' h.a..-.�
/5 1> .. .
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