33039 'j 0 �}QflpTt ........WESTLYN #2 TRACT 2168
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-- - .. - .... 19.6'f'--. Permi+ No..3-�O3. ..
-- roNSTRUCT �... ----...
Application is hereby made for a permit to.............................................:...........................
a------ ----------story, Type..--------Y.RE%----- ---------
--- ---Building
at----'---"--'-.. - . '��- -- ` -�Y-wig=------....--..........---- -----'--.-.............`-
+o be occupied only as.--.S _GLE.FA---- -- ESIDENCE
..........----------------
i
in accordance with Plans, Specific i d PII' '/ I f .
Estimated Value of Improvements, $.. 4�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 com-
plied 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 become subject to the workman's compensation laws of California.
CLAUDE T. LINDSAY, INC..........Address.....-.....1.3QQ..E1-_Camino--Real--------------
owner..---'-
---------- ......... ------
Menlo Park, California
address.... ------------...... . . --...---...----.....--
fsy.... - or �� - DA. 3-4T 18
anirec}or, Agent"
Form 380.1
RECORD OF INSPECTION
Fou ndatio n.Z/.!: Frame..........�
-------------------------------------------------------------
Stucco------------------....---------------
----------------------------------------------
3