28954 (2) 667� Clifford
CITY OF AN JOSE BUILDING DEPARTMENT
-APPLICATION FOR BUILDING PERMITS.
Date.......----...... dQ.. ---195... Permit No----- ---477-51?7/1..........
Applicafion is hereby made for a permit to--- OeVIAD-------------------------------------------------------
-------------------.................Building
a.........../....story,Type..:,?--.
UACVR�- -----------
at.............. ........C �p TSV
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to be occupied only as.................
/I
x-----------------------------
in accordance with Plans, Specificaf ions and Plot-plan filed,herewith.
00
Estimated Value of Improvements, $-----..--- .=...
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 INN........
Owner...........I............... ................... ...
By
- - -------------------Address457RW..494A.W).?p.......
..........
Contractor. Agent
Form Ml
RECORD OF INSPECTION G n
Foundation----...... ci7{' ,f7�i�/I -------
Stucco........................................................- n- -----