38786 (2) CITYOF O5 F SAN JOSE Peach Blos' aom Drive
1BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date------------
I— — Permit No. ---I------------------------
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Application is hereby madejor a permit to -------------------_ONSTRUCT-------------;................
a- -------story, Type---------- 000' 11
W_ %:�2---------------------------- Building
at -LOT' /I-S—�SkMARDIN '#5 TRACT 2v I/
to be occupied only as SINGLE FAWLY`pp
------- - ------------ MENCE
in accordance with Plans, Specifications and Plotplanfiled herewith.
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Estimated Value of Improvements, $---lzla��v jop/
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 workmen's compensation 1.8ws of California. I
CLAUDE T., LINDSAY, IN .6 El Camino ReaV-
130 ----- - ---- -----f------- -----------
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Owner ------ ------ ........i... C ---.....Address men-lo,*Park, Cali O"I'a
-1 -------------Address ------DAvLsnport-Jz7070
Ua
By Ad- .--1 utgeoli,
AtWoMtRenI aj
Form 280-1. ag
RECORD OF 'INSPECTION
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Found2ion ........
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