33039 i6i fQ��"�r'•�•�` ._WESTLYN ('2 TRACT 2168
CITY OF SAN JOSE BUILDING DEPARTMENT
/�L APPP�CATION FOR BUILDING PERMIT
Date....l.............._ 19 Permit No..r -�j.G�.3
Application is hereby made for a permit +o......_ O%MSTRUCT
a....--\------..story, TYPe---------V RES...f. ' /%Fl. .r1..�! .............................Building
at....................11121,7.....----.N .5.T...>,�r..r1.G...._�nl..fl--- .........................
SItlGLE FAMILY-RESIDEN�I�J� ......................
to be occupied only as.......
in accordance with Plans, Specifications and Plo+-plan filed herewith.
Estimated Value of Improvements, $----h?j�.�Q...........
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 com-
plied with.
I certify that in the performance of the work for which this permit is issued I shell not employ any per.
son in any manner so as to bocome subject to the workmen's compensation laws of California.
Owner..- - LAUDE T LINDSAY,_INC. .....Address-- 1300 _EI Camina.. Real_.. .._.--_.-_-
Menlo Park
CaliforniaCalif
J.A"dress------- --
ontrector, Agent
Form 380.1
RECORD OF INSPECTION
Foundation--4—!l.f.r.e
...Frame---------
--------------------------------------------------------
Stucco..................................
................................JOFinish.............................................................. ......