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74 CITY OF SA JOS. E „ 1 BUILDING DEPARTMENT
L�, .APPLIC TION FOR BUIL NG PERMIT
Date........ ------- -'----------.. I9.o 2Z Permit No.__._ -9.........-----
GONSTRUCT
Application 1s hereby made for a permitto..........................................................................
........... Type--------d..-----........................................... ,.%�-.-,�(-p-----------f.............Building
at............................ 5 �'d'..... .-- - -- - - -`---- --- - -- .Ria :_... _1K I.......:....----------...... --
SINGLE F M Y RESIDENCE
to be occupied only as...............----- -- ..... . . .. --- ... ...------
.• ...----...------------...
in accordance with Plans, Specific n 'nd Plo} 4Q N9Few /
Estimated Value of Improvements, $---�/�/..�C?----...----
It is hereby agreed that the requirements OZ. 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.
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 workmen's compensation laws of California.
Owner.--...CLAUDE--L. .INDSAY, INC. Address............1300-.EL.Camina.Real............
Menlo Park, California
BY- - - Address........... ......-----. . . . ..__---------...._...--
Contractor, Ag DA. 3-4118
Form 780.1
oRECORD OF INSPECTION
Foundation.y-zG-4G N--—?.AM .",....Frame.-----------------K..a
/ pp (�
Stucco..---...-- .....- -
p............:�.--- ------.. ..CA-ff: 4�
.. ...Finish.-- )..N