37548 7630 Peach B16,ti§Otn
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--- ----------- -- -------------------------- 19------------ Permit No.32-5–,i-t----------------------
Application is hereby made for a permit to -------------------COUSTRUCT--------------------
------------------- ---- --...... Building
a---r--------.story, Type-------/11-I I------ -- ---- -------- -- V RES.
at 76�?,V�-A -------toS"-A—--------- f-±!--------- LOT SPRI:!GARDEN #3 TRACT 2D17
to be occupied only as ------------- -.5'NC,.LE9f01 I LY
in accordance with Plans, Specificafio*arcil PIW-gra'n -fil'ed HerA�th. /3
:�
Estimated Value of Improvements,
7------------------------
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
Ow ......
ner LINDSAY ---------Address -----1300---El--Camin-o---Neal
Menlo Park, California
dress -------DA---- --- -1-7070------------
on p&rf
By
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"Ontractor, A�et ven
Form 280-1 Project Manager
RECORD OF INSPECTION ,
Fo` u d ao5� -. !-� l-1
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