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8WOF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-----------------------?----- ---------------- 19.6,-z-.. Permit No... -fY...3-3-'S--------------
Ap/plication is hereby made for a permit to .�ONSTR.U.CT........._...._.__..........._..__.--....
a......--r-----story, Type---.-----
- ----- ------ -.. _------........ Building
1 "AUTUMN GARDEN #2
at -------V,�r F s7�v-f� . . .
- acr zs>la
to be occupied only as .SINGLEfAMILY. S1D
in accordance with Plans, Specifications� and Plof-plan filed herewith.
Estimated Value of Improvements, $..lam//�- D-a................. PL<1i1/ 32o
It is hereby agreed that the requirements of Z 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.
CLAUDE . LINDSAY INC. 1300 EI Camino Real
Owner
---Address ------ ...- ---- ---------...
---- -------- --- -------- 1Vferilo Park;�Caiifcrnla
p� .... ddress -------.-DAvan ort--1-7070..... .
Form 280V Contractor, Agent Prolect Manager _ -
c
RECORD OF INSPECTION-
Foundation
Stucco --- ---?' C `�
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