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CITY OF SAN JOSE B WIN DEPARTMENT
APPLICATION FOR' BUILDING PERMIT
Date----- -------------- 19------------ Permit No.2_!7'1..6-f-------------
Application is hereby made for a permit to .................................................
a-0..&C-----story, Type--------V RE;' .......e4
------- -------- ;t,,t--------------------------------- Building
at _22
........... EN
to be occupied only as SINGLE" - FAMILY,- E--I-
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, _12 oc�...
It is hereby agreed that the requirements of 'fr San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Sen. Jose, will be
complied with.
I certify that in he 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.
LINFIELD INVESTMENT CO., INC.
.. .. .. -----------------------------------...Address1300 .ElI..C.a...m...ino---R-eal--'
-----
Owner - --- ----- ---. --
:--f --------- ..........
Menlo Park, California a
By --------- . °rgAfflress -----DAVarpoTtT-1070...
.......
Contractor, gent project
Manager
Form 280-1
RECORD OF INSPECTION
Foundation ............ ---444�arne ---------2-
---------- ----------------------------------
Stucco ..
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