38786 (2) Blossom Drive
CWP612 ac'
SAN J039BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date----------- ------------------- 19 Permit
Application is he.reby ma""]de for a permit to ....................ONSTRUCT------------------------------
' I
a------1--------.story, Type........4!��j:/- ------- - - ------------------------------------------ Building
at ------------ --------------............ 4I-SZ2_ 94030ARDAEN�#
5'TRACT 2C17
to be occupied only as S11MLr rAAM1 RESIDENCE
-- -----------------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements, d /V-"e
------------------------ -sp/1�l410
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 laws of California.
Owner ' CLAUDE 'T. LINDSAY,..INC........Address ...13100-111
Menlo Park,. Caljiornia
..... ...
BY ----- . gecsn ....Address -------64v---e---n---p---o"r-f---1-7070-------------
Form 280-1
RECORD OF INSPECTION
Foundatio - - :Z�4"?!Fr e - �'-07 L Z- 4u Gli
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Stucco --------------------- -- -------------- Finish �YC-ei w; ` 7`C 2
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