37548 7642 Peach B10880m
CITY OF SAN JOSE ' BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--- ---------------- 19----------- Permit No.12 1t------------------
Application is hereby made for a permit to ....................CONSTRLILIT..............................
at .7.6S�z51PEa N��o{ro-�.,r�-'��.ce� Corj%7 ORE�RI::co.nDEN Building
Y YP ,
_ - -- - -- N #5 TRACT-2011
to be occupied only as -----SIRG1E-FAMMRESIDEIPCE����C rp
in accordance with Plans, S ecification and Plot- Ian rile herewith<t 1gT�g tO.
P �-'---------• I` ".yt
Estimated Value of Improvements, $-Ale e----_----
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, INC. 1300 EI Camino R aI
Owner -- ---------------------------------Address --------------------------------------------------q- .....
Menlo Park, California
By -. :.��- cc'c ....- C -�eddress ---------DAvenTsnr -1-7070------
of
Agent a "• �• T�r�eOn
Form 260.1 Proiect Manager
+ RECORD OF INSPECTION
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