37548 CITr�F �SA�S�JOSE SsOhi BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date----- C---- -� ----- 19--�I---- Perini# No.3 .S�y$-------.....----
Application is hereby made for a permit to ....................._�- -'`'------'T
made
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a.----j�------.story, Type----- f�' ---- --•-- --- -V�"`S Building
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etylj,�p.� kQTfr✓�?O '• RDEN' 15 TRACT 2017
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to be occupied only as SII!^LE FA'MIL-Y RES! NC /
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accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $_ 3: 6e)- 7
It is hereby agree&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.fhe 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 violete.the workmen's compensation laws of California.
i, LINDSAY, INCA .1300 EI Camino R? al
Owner _C -.UDE _ Address ...:�1�etlio-��rir G ; rrria
� QPlye� .art-1-7070--------..
BY --- '- �•- -- ---- -- -- .Address , ... .. .- P
Confrabtor, Age g• 1• Tu,geon
Form 280-1 Piuiect Manager-
RECORD OF INSPECTION
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StuccoC:.l. Finish ... ---- -L�-p--/.L._2