38333 705 66t Way
CITY OF SAN JOSE "F k( 1ior BUILDING DEPARTMENT
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APPLICATION FOR BUILDING PERMIT
Date------- - ---------- ---t--------------- 19-C---41--- Permit No..:3.?,32.l-----------------
Applica+ion is hereby made for a permit to ---- QNSTRUCT-----------------------------------------------
a--------/------story, Type--...., .. ..RES.................... rr'� -----ll-'� --------- --------- Building
at --------7 9--zr-_06:. AA� �L'OT� /Y� UTUMN GARDEN #2
VV TRACT 2813
to be occupied only as -SINGLE-fAitlltLY-Rj:SIDENCE
in accordance with Plans, Specifi 9 ions nd Plo�pIhn'file4 rewith,
Estimated Value of Improvements, $.--- It-,-?r - ..............:..1'�XZD
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 workman's compensation laws of California.
C1AUDf T. LINDSAY INC. 1300 EI Camino Real
Owner .................. ... �ddress ....Me IO Park,--California-----
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By --'�/-'-�-�//)�J .--=----- .0 ..I—Tutddress ---,---.DAKenpoat---1-747-U
�./ Contractor, Agant Project Manager
Form 280-1 _ - -
RECORD OF INSPECTION
undation
Foyv� .-... -----_- - �ame --_--(/Sl--c . ---- L � /�+ -yUf/�-------
Stcco
ucco — .�. Finish � -�9 �
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