28954 6 CliffordCITY 0;4iAN JOSE I BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 407
Date................... -------.195.x... Permit No------- ..........
Application is hereby made for a permit to------ .....................................................
a...........4_5tory, Type----- ........... ..............--...........Building
_4140
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... - . ...........................
... ...........
to be occupied only as---....... -----------------------------------------------------
-in accordance With Plans, Specifications and Plot-plan filerewith.
Estimated Value of Imp royements, $------- Xed h
O-
Is 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.
NISTA MANOR BUILDERS INC. "I
Owner..................... ............... ...........------------ .........
............
By....... --- - ---------------------------AddressAAWAR.A44 ...4P
...........
Contractor. Agent
Form 213041
RECORD OF INSPECTION
Foundation` :9/...............................t ------�!_/¢--S 6-S�. �AN�
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1
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Stucco --