NO PERMIT NUMBER (2)801 Be"tlin
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
/lA p � -7 7
Date....(/Y/1�1%�... 1195.97. TO 3 r Permit No..... ' .............
Application is hereby made for a permit to--------- .0-f L. --Q ..........................................
Building
to be occupied only as ...... t�--... - r! 1.....-/ J G -----------------------------------------------------------
in
_.... ..........
in accordance with Plans, Specifications and Plof-plaXnrfiled;herewitth.
d
Estimated Value of Improvements, $--:/.d U
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
Owner------ -----
Contractor, Agent
Form 1801
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RECORD OF INSPECTION
1
N.
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