38335 84:`OF*SAN JOSENOvo_mbdr brivd
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date---------------------)_=_1................... 19_6_4__ Permit No.-3.r --------------
Application is hereby made for a permit to --------------------------C
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---- -- -- -------------------------
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a---------I-------story, Type / �. .. 4M ffl' s,- ------------------- Building
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at -----f'�p-----/Va ve� 'd AUTUMN GARDEN #2
.......I✓-------- .....S.IN.G-L-E-0911 rm I L S I D OR C31 mwi�� 2813
to be occupied only as ---------- -----------A_�--
in accordance with Plans, Specifications and Plo f-plan filed herewith.
Estimated Value of Improvements, 1�06 316
------------*---------
Itis hereby agreed that the requirement, 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.
1.100 Real
Owner ---CLAUDE ---QNDW_.lNr__.........Address ........ -------- -------- ........
............. ...........
Mer,10 P!_ �,
dress or-perr'li---1-70'ZC)--------
....... Tu,ge� ------------WAY
By 4zd----------- - J_-'�'_
� TU I qec n
Contractor, Agent
Form 280-1 Proi3ct Mancger-
RECORD OF INSPECTION
oFounat, d ------ 3 - C ^d,_. Frame��---------...-
Stucco ±{y-K�-z---- -- Finish -----:/2- 2- -�LU( (�
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