34180 (2)883 LOT --&---AUTUMN GARDENS TRACT 2738
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date --...3i--- ----------------------- 19. '. --- Permit No: ---- :3 --- .T /. --------
Application is hereby made for a permit to -- CONSTRUCT
— --
a.--p-�/�--s+ory, TYPe........i�. E$ {/��-- ---------------------------- Building
IV I
to be occupied only as SINGLE-FAMILY RESIDEN {/
in accordance with Plans, Specifications and Plot -plan filed herewith. /'
Estimated Value of Improvements, $..... ---..----
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 lawfl 366atiordbmino Real
Y INC -------------Address --. Menlo Park, California
Owner LLAUD.9 7r.:I,IND-5A......------------------------------------------------------ --
lC.... .--.Address -------------------------------------- --------- -------
Contractor, Ag6M1t
Form 280-1
RECORD OF INSPECTION
Foundation rame/o
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Stucco---------------------------------------------------------------- Finish ....
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