38067 8W OF SAN JOSE�iesta La tie . BUILDING DEPARTMENT
APPLICATION FOR BUILDING -PERMIT
Date------- --JAN 1 1-1Efr2 -- 19 ........ Permit No. ----------
Application is hereby made for a permit to ._.............CON,SrTRUGT-----------------------------
a-----4----------story, Type-------'C�"-` --- --- - ---- ----- RES_ GJ�TT 9'/1f2.------- Building
at --7ff 9 - -F, Es '/J L _tiE LOT AUTUMN GARDEN #E2
to be occupied only as `�h" I' "�� TRACT 2813
-------------------- --�
in accordance with'Plans, Specifications and Plot-plan filed herewith.
9k�Estimated Value of Improvements, $-_t_3_OHO_---._...._.--. �� 3/(o
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 SanJose, 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 T. LINDSAY, INC. 1500 11 Carni:to Real
Address
Owner ------------------ - --.. .__ __ . - .... -- - .------�...
.------..
Mento Park; Cal�:orria
By --- -----r--.y�f..-_ --------------� --- .. .Address ....DAvenport--1-7070--------------
a/ Contractor, Agen� a T v'9eon -
c_._ von.i D...,..�� M........ve
RECORD OF INSPECTION
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