33039 (2) 7�6I b46N"I..1':......_.__WHTLYN IA2 TRACT 2168
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---.. �.. 191cz y1.. . Permit No. 9..........
TRU
Application is hereby made for a permit to-------CONS.........RTRY-C--T--
a------..:-.........story, Type--------------V RES-----"......------. Building
at.........J.J-D-7--..... ---' - '. ......------------------------------------------------------
_i�FA IL_Y RESIDENCE
to be occupied only as------------------------ ---- - - � . ............._..............
in accordance with Plans, Specificati Plof•p19fS�16diKei�w ty
Estimated Value of Improvements, $.../.3f.QD-O.........•
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-
pliad 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 become subject to the workmen's compensation laws of California.
Owner.
CLAUDE T. LINDSAY, INC.. .Address-------------130D..EI..f cLmina.-Real...........
........................................... .........
By... -
-��� Menlo Park, California
_ Address.... ' .. .............. }
Contractor, Agent, DA. 3-4118 -
Form 3001
RECORD OF INSPECTION
Frarne.4F!:2 1-4.w 4�
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