28954 (2) 6658 Clifford
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.................. C?. 195. . Permit No......;&
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Application is hereby made for a permit fo.......gali-P..-. ................................................
a-----------1---...story, Type-----V- -- -- -- --- -- ------------------
.............Building
at..............C2ArV.-;:T6 -----------------------------------
to be occupied only as.--....l------ f"70'.
C/-x----------------- ...........
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements, $............f
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
applicable to the construction, lo"flon, and use of buildings within the City of San Jose, will be complied with.
VISTA MANOR BUILDERS '?M'
Owner............. ........................................................ 0
.....
................
By.........6-'ja.!.....9--la.444144-1-----*............Addr.ess-,5/9(1).......1164AA.a-T
Contractor, Agent
Form 2901
RECORD OF INSPECTION
Foundafion...... l;2M...5f....jhhl......
StUCC6.... ............
.............................. F* s ...../-`
9—/7-5 7r- $pVl 7--------------
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