37548 7584 Pdach BLQssom
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--------------------------------------------------- 19.---------. Permit No._3_.D �:YB
----------------------
Application is hereby made for a permit to -------------- CONSTRUCT
.._--------
at 1-1.b.1.. Alf----0wstom.---� -- --TR Building
1 Y YP
- - -- --- ----------- -R/�E LLOT�`f� Sp^ `:❑,1RDFN $5 TRACT 2017
to be occupied only as ......------S14GLE-+AM1l!!Y�RESI EO IVGE V�
in accordance with Plans. Specifications and Plot-plan filed herewith. GE
Estimated Value of Improvements, $-----/.f. -r,.e7
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. iVDSAY..INC--:.-.Address ----1380-_[l Camino Ez.eal
Owner .. A - E -- ...............
Menlo Park, California
CCSI - Address ------ �s��
BY . ... - . 1 - -
ntractor, Agent
J. TUrgeO❑ DAVBI� 'oTt--�'7V7ti---....""--
Form 2e0.1 Project Manager
RECORD OF INSPECTION
Founds+ion ..��--��-*f-.--G ... Frame 'G� Z�y�L
Sfucco -L2. -Z!'-G-(Finishl�fr a...3-- � G ?i