34180874 LOTQ_AUTUMN GARDENS TRACT
CITY OF SAN JOSE OLDING DEPARTMENT
APPLICATION //FOR BUILDING PERMIT �(%�
Date..... ..... ............ 19.?.. Permit No. ---✓-�/U `- ...
Application is hereby made for a permit to ... CONSTRUCT
a_ O_h e-_storv. Tvoe----- VMS ...................
G-,/vZ,CX /.-.cLi�.--------------- Building
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to be occupied only as .SINGLE-FAMILY RESIDENCE
in accordance with Plans, Specifications and Plot -plan filed herewith.
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Estimated Value of Improvements, $---� �_-------- ---- ---
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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 IawiA E�forni..Camino Real
Owner - -CLAUD' T. LINDSAY,- INC... ---......Address .---r(fenlo..Pctrk....California...............
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tLi.i PGS .......... Address ---- -----------------------------------------------------------
BY 1- -
Contractor, ant
Form 280-1
RECORD OF INSPECTION
Foundation
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Frame ......e�..-LIG-
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Stucco -----
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Finish ---------2-
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