38786 CITY OF SAN JOSEach Blossom Drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date...---LJ.. --....---._-_...- l .Permit No✓...V..7 - ---......
Application is hereby made
for )a permit to ...
�._...........CONSTRUCT---------------------------------
a---)--/_----story, Type----G. r�/,�f`l -�f -....._--------------------------- Building
atWl7..! . 107 . .SPRINGARDEN #5 TRACT 2017
to be occupied only as SM LE-EAMILa REMEN I f/ AldI ;�
in accordance with Plans, Specifications and
Plot-plan filed herewith.
Estimated Value of Improvements, $�. _v.00-------------- -�.1(L�-i ural
If 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, INC. 1300 EI Camineo Real
Owner ----- ....Address _---------------------- ---
------------ --------------
Menlo Park, Cail.orrna
By - ddress .---:DA�en AJI137-0--------------
ContrPdlDi8ftA.c flP9er.. .
Form 2B0-I V r " - - -
RECORD OF INSPECTION
Foundation ----------
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Stucco ---------------------------------------------------------------- Finish ----------
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