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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICA ION FOR BUILDING PERMIT
Date....... .......... ... .............. 14'._ Permit Nosgcr� �c3 . --------
Application s hereby made for a permit to..--..CONSTRUCT
a -\ story, TYPe.....-- r- ... ..............
- .-Building
------_------------------at..................... � ...
to be occupied only as----------------------..... .. .GLE AMILY RESIDENCE..-- -- -- /( -- --- -- !..--------------
--.......
in accordance with Plans, Specification f-pja e J(eiety f�
Estimated Value of Improvements, $:-1,3 .C?R0..........
.
It is hereby agreed that the requirements of the Sen 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 com-
plied with.
I certify that in the performance of the work for which this permit is issued
son
shall not employ any per-
son in any manner so as to become subject to the workmen's compensation laws of California.
I
Owner..----.CLAUDE T. LINDSAY, INC..---.....Address..............1-gpp.-EV am(tw--Real. .
By ..---....Address............MenIQ..Parkr- California..--......
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Confractoq Ag DA. 3-4118
Form 280.1
RECORD OF INSPECTION
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