37381 (2) 7940VALL
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafe...-------- ------------ 19-k/..... Permit No.3)-,3-?I
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Application is hereby
/y?made for a permit to ...........�NSrRUC.T............................ ........
a........../-----story, Type-E�-'-C ` . .. .. .f.��.-y--------.....................---------------------------- Building
�� AUTUMN GARDEN #7
at _7 91,41 4....-' - -F Ei�`\� � TRACT MN
to be occupied only as 2813
SINGLE.FA_MILY" ESIDENCE
in accordance with Plans, Specifications and Plot-plan filed herewith.
j, Estimated Value of Improvements, $/Y_.��.v-------__...... 7�[AA� 3/6
It is hereby '6g read that the roquirements of the San Jose Building and Zoning Ordinances and all other
laws applicable tthe 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 laws of California.
CLAUD T. LIhFDSAY INC. 12100 El Camino Real
Owner - `--...... _ " - . ...Address ---- ' -
" - '
(� Tv1enTYPaik;��Cati c�'riia""""
BY V - ' �1B.-J-"Tux9 fres: DAvenpoet.1-7020... ....
((// ConTractor,, Agent pralect Manager
form.280-1
RECORD OF INSPECTION
Foundation!PT.�-----------------------------
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