28954 (2) 863 E. Estates Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 43
LDT 97
aD 11
Date--------`--------------- -------------_195. - Permit No....r�.$.-�'5-�+-'----.....
Application is hereby made for a permit to-------�--6D1L P_.......................................................
a..............I....stor , Type--- '-'--r t'q s 7.�CGY.-��--`l.sr-'----------------------......._-'--...---.Building
ff]]pd story,
at.---------'-- -6 �' '-. 5 ..T.. //
to be occupied only es------......./------ lY� /-- - ...._ -------- ..............I-------.........
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $........L/.0j.---------------pD
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. Address.n L�d.....01.�'..-✓q!
Owner......"'----"......"--......
BY-"-- ... -------------.Address.4qV--X�. ,.VW- TQ.......44� ...
Contractor. Agent
form Ml - r
Q q '}R,EC1ORD OF INSPECTION
Foundation f..�:aG__�' ................/..%....:_Fre --....l.n;--- _ ........!(-- ....L012ia .
Finish--•(.-11---3-...----._•••. ---•
� q,s .3