38786 (2) JOs�ach Blossom Drive
C POF SAN BUILDING DEPARTMENT
/APPLICATION ,F,OR�BUILDINGI PERMIT
Date-------- `L( ------ Permit No.-S_TW(7--,..."
Application is hereby made for a permit to ....".".."...COf'ISTRUCT
a---/--------.story, TYpe-�--/G/t��-_---�F�'-" `--e�..�.�p �----' Building
at ;;;2.W >ac�i.. - i2 -,R RDEN #5 TRACT 2017
to be occupied only as SINGLE FAMILYRESIDENCE -
in accordance with Plans, Specifications and"Plot-plan filed herewith.
Estimated Value of Improvements, $/5/ 5-0,61.:............. �V SQA
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.
CLAUDE T. LINDSAY, INC. .
Owner ..- - - - - ----------- Address 13Q0 Et Camino ileal
. Menlo Park, Cali£orrii�"""--
BY - B: - :'pfv�rgeort= ". Address --------D-Ave�r#---"7070-..........
Form'zao-I, C tro�or MOOOuBEt
RECORD OF INSPECTION
- -- - ----'-Foundation J L '6 2, /�-� v
U« -
- -----------
hStucco -------------"-----------`------------------------------- Finish
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