34180�jn LOT 43' AUTUMN GARDENS TRACT 2730
%AN_JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date -._.j...- - ................. 7 - .-.... ------------- Permit No. ------ 3 ---
....
Application is hereby made for a permit to ---CONSTRUCT- - - - - - - -------------------------------------- -----------
ry, Type ---------- V.0-_ �e------ - ----- ...... ------------------ Building
to be occupied only as -SINGLE.FAMI .01 "O�
LY..RWDEMCE*�� '4' /
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements. ot, --------
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 shell not employ any per-
i son in any manner to as to violate the workmen's compensation laws of California.
1300 El Camino Real
Own., LAUDE T. lN.P5AY,.JNC ............. Address .---Menlo fork Catifarritli`-------------
By
--`--..Address
...---------------------------------------------I---------- ......
----- 4!!6.
C*onfr-- ((nt
Form 280.1
RECORD OF. INSPECTION
Foundation-9_1 Frame ----
--------------------------- ---
Stucco le-e-yl