34180 (2) 882 Wt6W)6r' AUTUMN GARDENS TRACT 2
CITY OF SAN 16SE2_QA. WILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---------C 71 Per I---------------------------
I -- ------- 19.... mit
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Application is hereby made for a ermit t .....CO-N-STRUG-T----------- -----------------------------------
a-----00.h--e.---story, Type-----V__R� ------- ---- ------------ ------------------- ------ Building
:T1 y--- --------
to be occupied only as -SiNGLE-FAMILY..RESIDENCE
in accordance with Plans. Specifications and(
nd Plot-plan filed herewith.
Estimated Value of Improvements, $----lj�el
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 workman's compensation laws of California.
CLAUDE T. LINDSAY, INC. 1300 Ell Camino Real
Owner ..
...........---------I......................................Address ---Men4o_.Park-,---00fifoMIar-----------------
By .........Address --------------------------------------------------------- ------
Contractor. A94fit
Form 280-1
RECORD OF INSPECTION
Foundation
Frame --- ---
Stucco - ------------------ ------------------------------------------�Fiini- -------
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