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CITY OF SAN JOSE BUILDING DEPARTMENT
. . APPLICATION FOR BUILDING PERMIT
Date-------------------- 19------------. Permit No.V �--.yr--------------------
Application is hereby made-for a permit to �oNSTRUCI
a-----j--------story, Type........... /--- -- 409-52- .......... Building
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ai -<---f'E.Qcyy-,� f?tc4--/�j��/� LOT ",a�+��Rf AR :N *5 TRACT 2011
SINGLE FAMILY.RESIDE V"" �/
to be occupied only as ----------------------------------- /
in accord6t
ance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $_ - --� _C7----..
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.
CU' LID7 T. LINDSAY, INC. 1�
Owner Address Q -`!._ ...... -Real.----
--------------------'-'---
Menlo Park- California
.... t -- -:--Tu- ss .....
By .r`-C ontra�, Agent/ � DAvenporf- 1--TIITV"
Berm zea-I Project Manager
RECORD OF INSPECTION
Foundatio *m