34180 (2) 839 S2i�p'tn��r LOT / e.UTUMN GARDENS TRACT 173
' -CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.... �� -....--- 19---- Permit No.----3--- .1.....V..---
Application is hereby made for a permit to -----CO-N-S-TRMOT----------------------------------------------
a----QA_tPo---story, Type---------V_ ..Gyl�1 .% r... , -- - - ....- ----------- Building
--OuG f:7
to be occupied only as SINGLE--FAMILY-R€ D E
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements, s./ eOa
If 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.
1300 EI Camino Real
Owner CL IJDE T. LINDSAY, INC. Address ---Henle Pork;-Entifarrda-----------'
--------....----------- -- - --
BY - uL ± "...'6l:^-.Address ----------------------------------------------------------
; racfor, AgeA'
Form 280-1
RECORD OF INSPECTION
//--�� 6 /
Foundation Frame
Stucco
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