38786 CITY OF SAN J04"' Lane BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ITQ��JJQQ
Date...-------------y� 'La . 19.1//..E Permit No.3..L?.-/- OO--4..-._...
4Application is hereby made for a permit to ---------------- CO{YSTI�. ..
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a....../'----------story, Type-------------------------------- ----. ....9.R .-- . . - ---------- Building
at l .xr-/?.S ck - --- - - ------ -- ---- pRiNGARDEN #5 TRACT 2017
to be occupied only as -)NGLE .AM RESIDENCE
in accordance with Plans, Specificao PI Al"Estimated Value of Improvements, '$1 f.a.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.
I certify that in the performance of the work for which this permit is issued I shall not employ any per.
son in any manner so as to violate the workmen's compensation laws of California.
Owner -----CLAUDE-T. LINDSAY. INC. Address -_13co EI--Canino---Real--.-------
Menlo Park, California ---
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BY - ... 8 ,y, ' �:-pp-e �a�f f3Averiporf'1=707Q
CoMsactor, gnci
Eorm 280-I rO1BC}�A!JOO[Iff?/ - - '
RECORD OF INSPECTION
Foundation ._ (v 2— Fra .. ---- - ---- UG.I`---
Stucco ------------------------------------------------------------- Finish