35726y50.� Peach BLa§sa�tif
CITY OF SAN JOSE BUILDING DEP/
APPLICATION FOR BUILDING PERMIT
Lot. 154 W GA g;N, #4 TRACT 2016 1
Date----------Att--1f:.lVl.-..---- 19----------- Permit No._3-S-�-Z:
Application is hereby made for
raa�permit to--------YUnld
a 1— story, Type — — N RE �d
at ---- tavo--- eaCO--nlossom---Ur1Ve-
to be occupied only as --SINGLE.FA611LY-RESIDENCE ����/�� /
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $�i� .. - .......
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.
1300 EI Camino Real
Claude T. Lindsay, Inc, Address .... ---
Owner• --------- -- ---- - -- -- --- - Menlo..parke Gakfornia---
P. O. BOX 60
By -------r . - --------z` yAddress ----Menlo Park California
Y" ontractor, Agenf
Form 280-1 - -
RECORD OF INSPECTION
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Foundation --- el ....... ------------------------
stucco....... .....
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