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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ....,------------------------- 19------------ Permit No.✓.��..yd. .
Application is hereby made for a permit to CONSTRUCT
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a /- story, Type � ��/ yVC/'�!�..I .....................................................VRES. Building
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of 1..f U.lw---DRi ✓E COTA/b.2- . SPR:."1, D 14 g5 TRACT 2017
to be occupied only as SINGLE FAMILY R�DENC 4;
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in accordance with Plans, Specifications and Plot-plan filed herewith. /
25
Estimated Value of Improvements, $...1...?e.........................
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
lawsapplicable 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 laws of California.
Owner -._ CLAUDE LINDSAY, INC,- Address ..13t(:ri' rwl �a..mj as C?:Aai--_---_-
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Wnlo mark, C J':f*rra
By .. -- C C 2 u:Address C7 VL15pOFt =7O3Q'
Contractor, Agent geon
Form 280-1 Project Mon.,,.r
RECORD OF INSPECTION n
Foundation .. �.�._ -a/--G_-J From` �-U -/4..Z- /_7� .2 /.
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