28954 CITY OF SAN JOSE ' Clifford BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �FD3
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Date---.i.................!�...� ...195. . Permit No. ..rt!. .!S l- --
Application is hereby made for a permit to------- .. 1.L
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........... -----------------------------------------------
a........
- - -- -- -a------.. 1---.story, Type---:r—.-- .......... -----------------...---.Building
to be occupied only as---------.... /1 - ...
in accordance with Plans, Specifications^and Plot plan filed herewith.
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Estimated Value of Improvements, $..........�P..D> a,
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 INQ:
Owner. �-`- - - .-.........................Add �
ress& .-RAI a�J.r!'T.e��!/f.....
By-------_�Ce._........�y — ------_=--Address... ..... ..
Contractor, Agent
form 280.1
n' RECORD OF INSPECTION
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