37381 (2) 7045 V6LL
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING/PERMIT
Date ............... (9 ....4_0......... 19.41... Permit No.
. ..... 3
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Application is hereby made for a. permit to ----ONSTRU.CT..............................................
a----4-------story, Type........... ---------------- ------------------- ------------------------------------- Building
AUTUMN GARDEN #2
TRACT 2813
to be occupied only as - SING UAMILY.-R-ESID
in accordance with Plans, Spe i�fic to ��-7115�f-opran�fiiiie,�-'herewith.
Estimated Value of Improvements, $_A� _Aod------------------ pL41113-2 0
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 CLAIJWJ._�INDSAY.JW 1300 El Camino Peal
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. .............. Address ------Menlo Park, ---
ress ----------B
Y DAveillpmt-1-7070--------
Contractor, �A ant 76n,
Form 280-1 Project Mon�q-r_
RECORD OF INSPECTION n
Founds n".r? p�--� �2 ,-CJ Frame rlcSrl �-� 2��i
54ucco ------ - - . ?.t-t. f" -�['22..:G/ Finish --`-- --- --- -----