28954 (2) 6665 . Clifford
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 4-02--
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Date-------............---U....:!!.-9......195-r.. - Permit No------c1.8--(. ��.....:.
Application
o-------
Application is hereby made for a permit to------- ---------------------------------------------------
a----------4......story, Type------ .........4117-77-.-.91.�. -----------I------------ .....................-----------Building
at.--......6&--6..qj....... ,F--k,- - ------------------..............................
to be occupied only as...........4Zh.2 -------------
a ---------------------
in accordance with Plans, Specififions and Plo
Estimated Value of Improvements, $...........
I
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.
/YOwner....... - -- --
-.- - --. ... Addres
By....... -----------Address.
25
Contractor, ... . .......
Agent
Form 2W1
"RECORD OF INSPECTION
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Foundation.....�-11-q - J-DNI--------------Fre
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