37548 ,GldC[LSSORI
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---------------------- ----------------------__ 19------------ Permit No.22_:;-_,,-r-----------------
Application is hereby made for a permit to .....----------------------------CORSIRUcr----------------
a--------(---------story, Type----- --------------- .............. Building
atLOT #5 TRACT 2017
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to be occupied only as ------------S1_N_G_L_EFAl`A_1bY RESIDENCE/ G•
in accordance with Plans, Specifications and Plot-plan filed herewith. c-N
Estimated Value of Improvements, $-----/---4-fee- - -----------------
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.
CLAUDE T. LINDSAY; JNQ 1300 El '0 0':"11
Owner _�t..Aciclress .....
BY -- ---- - ----- - ress ---------DAvenport..1J07.0..........
B: J: Turgeon
Contractor, t
form 280.1 project Manager
RECORD OF INSPECTION A ,
Foundatio �" u^'! cC! /l- --- ------ Frame
Stucco .. .... Finish
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