33039 (2) 14. 6 ttstAtiLbt..6..Cl-n...........WcSTLYN-//2 TRACT 2168
CITY OF SAN JOSE BUILDING DEPARTMENT
Q.� APPLIC TION FOR BUILDING PERMIT
Date...--: .. 'L'Z� --------, 19... 1 Permit No..rl. 3. -' ' .....
Application is hereby made for a permit to.....COf1STRUCT
a....... ...........story, Type---------Y.- Er-----'-.....--......-'--------------...............................---------------.Building
at..................... Ir.6........ 'q-------------------------------------------
WE f MIL RRESIDENCE
1 to be occupied onlya as-----------------------_--- -- ---_---_-------_-------------
accordance with Plans, SpecifX and PlofaQlgi l if
Estimated Value of Improvemenf , 7//_2�.0;�10'../.' .V..
If is hereby agreed that the requirements of Tho Sen 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 1 shell not employ any per
son in any manner so as
to become subject to the workman's compensation laws of California.
Owner...CLAUDE T. LINDSAY, INC. Address.........1300-EI_.Camino--Real----------------
By. �/� Menlo Park California
.. � -� - - ,..Address-------... ..15A. '3 4118...... ....-
Contractor, A ant
Form 280-I
RECORD OF INSPECTION
Foundation-W M-4 R!--- Frame
Stucco------------------------------------------ ..... ...............Finish---'---(-
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