NO PERMIT NUMBER (4) 801 Be"tlin
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date....(/Y/1�1f�... TO 3 r Permit No..... -...-'
Applli/ication is hereby made for a permit
ytoo----------/y .0-f L.--Q_................_----..--. ...........-
a---- -(p� storY, Type-....-.." 1-.�._:..-S .........................................................? Building .
+o be occupied only es----/---- �... -=---- ..--.....-.._....................
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in accordance with Plans, Specifications and Plof-planrfiled;herewilm. �
Estimated Value of Improvements, $--:/.d�k-Q_�
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 IN- ��'�'MCe4R.rwR
Owner------v---------------�-----/-----------------�'- -.............Address--------------- ------- --...c.....---
By........ :... !`1�t!?!yL.>�-A.}51.------- ------C'
Contractor, Agent
Form 180.1
RECORD OF INSPECTION
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Foundation..... f64/f
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Stucco ----------------- - .................Finish--
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