38335OF SAN JOSE add 1Mb r Dz ids , • BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafa----------------------3 ------f ............, 19-6-t-... Permit No. -3. 5
CONSTRXf
Application is hereby made for a permif'to-------------------------------------------------------- ...........
VRE,
a ----------- I ------ story, Type .............. f-----------�..�--_ �----i9 ----- Building
of _-�/(Od'---N.4.--_�`M..6.G /e'.`r✓ Tw 4—rzl AUTUMN GARDEN #2
FAMLRESIDENCE- TRACT 2813
to be occupied only as ..... --------NGLE----------------I----
Y
in accordance with Plans, Specifications and Plot -plan filed herewith. -
Estimated Value of Improvements,
LL
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 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.
Owner qL-AU-D-L T-,NNAV_1KC.------.Address 13C0 41 Ca;aino Real
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-.. r- --------
-----Mento Ca iorma
:Address
BY ----%�r�:vei t�it--�- t7 -0--------------
------------- Contractor, Agen B• �- Tu_�geon.p
form 280-1 Project Monager ""
RECORD OF INSPECTION
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