28954 CITY 6F'SAN JOSE .Clifford BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
1—(97— 93
Date.-.............. ......194 'Permit No..--.0921_.?.. _-1.........
4/_-D----------------------------------
Application is hereby madejora permit to----------- ----------------------------------------------
a..--------
.............
-e�_-- W. W. .....................-------.....Building
a......------/...story,,Typo----:
at---------1 -'-f'-------..<2. .......... ...... ......... . -----
-----------------------_--
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,04�ql 4,>*S
to be occupied only as---------------/--- --- - 9 x
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimafed,Yalue of Improvements, $.......---A9
1 ;,4000—W
It is hereby agreed that the requirement,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.
.Owner.................... ................Address3
--------------------
---Address.....i 444..........J::--------------/------
By........ ...........
Contractor, Agent
Form 2804
Q -RECORD OF INSPECTION
Foundation.....�-1..----zcp .. 'A!)------.Fr ----------
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