38786 C11WOF SAN Asiter Lane BUILDINGj DEPARTMENT
APPLICATION FOR BUILDING- PERMIT
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Dat------------------- ........... 19.-- � Permit No.-- ---
Application is hereby made for a permit to -------- --------CONSTR
OCT',-------------------------------
a------/----------story, Type---------------- -----Y-RES.-----------------I
----------------- ---------- Building
LOT�'�SPRINGAR-
DEN #5 TRACT 2017
to be occupied only as $11RCILIE... MILY-MMENCE
in accordance with Plans, Specificafi f agi Pilot- Ian filedo h e
?.g
75,
Estimated Value of Improvements,
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 a, to violate the workmen's compensation laws of California.
Owner ------CLAUDE---T-AlMUY,_04C---------Address 1300 El CalinoReal
-------------------------------- ------------------
--Park, California
ByA01�......Address -----RA7!"------L ----------- --
------ Uir eqf 6.h.,: i
Form 280-1 CrytiecW'A%n,ger
RECORD OF INSPECTION
Foundation --- ------
lim" - P--L
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