28954 (2) 6�
CITY 0 ?SCAN JOSE Clifford
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT L*1
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Date------............... 195.5- Permit No......... ..........
permit to-------- Yl.-.P............................
Application is hereby made for a p rmif to, z ------------------------
/----story,Typ ......................................Building
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tobe occupied only as............ .. ... - ......................................
in accordance With Plans, Specificationsand Plof-plan filed herewith.
Estimated Value of Improvements. $:------/X-abo-
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. 7
...................
....AddressZ
Owner.....------....... ......
By--=......C.'-a...... ---- -----------Address--,5: -------------------
Contractor, Agent
Form 280.1
RECORD OF INSPECTION
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