28954 (2) 6616 John Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 41-3
)_101T F3
Date............ .----------.195 Permit No-------C9 -----------
Application is hereby made for a permit to..........e ...
al 'a- --- ---------------------------------------------
e----....._1--/---story, .Type---------- ..... ---------------------...........-----------Building
at--......... ............... ----------------------
. ...... .....................................
tobe occupied only as---.-.... - -- ---- -- - :- . -_ ... - -------- --------------------------------------
in accordance with Plans, Specifications and Plof-plan filed herewith.
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 IeUl DIRI INC.
Owner--------........._-------_-------------------------------------Address---51
..-----. ...it jii�
By............. .. .. . ... ................Address.._25�...
Contractor, Agent
Fom,280.1
RECORD OF INSPECTION
Foundation-- . , - --" Fr ----/Q--9�5/�Vl -- �
Stucco................................
.....................................
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