38335 IV
8W 0,F SAN JOS&q .' 8' br'I
Vo- BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-------------*-----------
--- -------------- 19-e Permit No.-J?ca 5--------------------
Application is hereby made for a permit to .-MR.U.C.T--- --------------------------------------------
a--------\-------story, Type---------E11 . - ? Z-10......._-------. - ............................. Building
at ........ 5$.\)1-1---..-------- LWm-,AUTUMN GARDEN #2
Wip"CT 2813
to be occupied only asSINGLE-FAMILY-RESIDINeE
in accordance with Plans, Specificatio*ns �..nj Plot-plan filed herewith.
Estimated Value of Improvements, $- / -�)-P-Z)............;D44A/ 32
1+ 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 as to violate the workman's compensation laws of California.
CIAUDE, LINDSAY INC. .........1300 El Camino Real
Owner ....... ...........Address Menlo-Park,-- ----C---W----------- -
------ a I wnia
--- ---J...70---�Aciclress -------------DAveriport--1-7070--- --
rgeon
Contractor, Agent
Form 280-1. Project Mon-0-ir
RECORD OF INSPECTION
Fo dat'o r��----------------------------------!.......... Framoe .,
----- -----
2 a7; ------------
stucco -------et-� 2-6e-6
------------- je............... ........
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