35726 1407 Pri(4r6s6
'CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ..
LOT:...I PRINGARDEN 14 TRA
'1T'�iT�—
Date-'-."- 11 ...2 4-1961 --- ..-, 19----------.. Permit No. - '--------------------
Application is hereby made for a permit to ..CONSTRUCT-------------
a------1---------storY, Type-"------'-Y.A;.� ---. .--- -- s... ---------------- Building s
at ...1407.-Primr-ose---Wa-y--- /(f//w/(C�j
to be occupied only as SINGLE FAMILY..RE.S.IOENCE —
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.-1.a De)
It is hereby agreed that the requirements of t e 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 Iavjs3jiL Cdlifo�nia.
11 lbb tE famino Real
Owner CIaUdO LIf4dSay, IBC Address ---Menlo_Pork,-_California-----------------
P. O. BOX 697
g .
:.Address .....Menlo--Park,--Caffefnl8 --- --
V Contractor, Agge
Form 280-1 -
RECORD OF INSPECTION
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