37548 CITY•1lwlj' iE s� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Da+e-----------------..... ............................ 19----------.- Permit No.•3 Y.---...--'-----
Application is hereby made for a permit to ---- CONSTR.UDr---------------------------------
XRE a------I---------story, Type---------.-- ��� -- Building
at7d o8-PEycN ttalg----!)'eivE--.-/- -- LOT /- °Przlt RDEN $5 TRACT 2017
to be occupied only as --------------SINp`�yIJ,�YiRESIDIEI'�,G��, . .:'.
in accordance with Plans, Specifications annyd Plot-plan filed herewith.
Estimated Value of improvements, $..- ._./f.----------------------
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 workman's compensation laws of. California.
Owner -_CLAUDE-_T{. NDSA ,---INE. .----.-..Address ---.1300_EI-.-Camino-._Reay---_-...
Menlo Park, California
Address ' '
By g DAV enporf 1=7070
-- - 8: :JTG� eon
Contractor, Ag t
Form 2ee-1 Project Manager
RECORD OF INSPECTION
Foundation --------------------- ----f-- Frame ------- M� n ' 3 G 1
Stucoo� - - •- -itti_ F....L.. ..L..2.. Finish
-.59333