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CirT OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafa--------------------3---c------------------- 19.C.ac. Permit No.-35Z3.3S--'--------------
Application is hereby made for a permit to ---MNSTRK-T-----------------------------------------------
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a... -- -storY, Type--- -- -u RES--- ----- ---....-
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AUTUMN GARDEN #2
at ---"-(0---- ------- TRACT 2813
to be occupied only as SINGLE.EAMILY-RESIDENC � i
in accordance with Plans, Specifications and PI p n f e e i
Estimated Value of Improvements, $.A;V NJ ) --?i I N 3Z 6
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.
Owner
CLAUDE.. T. LINDSAY INC......................Address .......130.0-11...Camino.Reai----
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Menlo Park, Califs nia--.-.
BY -YY` - .TnrgAc({dress
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Contract r, Agent ........ DAVenPOrt -'O'O
Form 2Bo-I _ Protect Manager
RECORD OF INSPECTION
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