34180 (2) 8913 September LOT -3/ AUTUMN GARDENS TRACT 2738
CITY .OF SAN JOSE BUILDING DEPARTMENT
APP/LIGATION FOR BUILDING PERMIT
'......fl.._-------"-----.._., 19--- Permit No.
Date----�... ---J..�_�.../� ..----
Application is hereby made for a permit to --CONSTRUCT
C C-.0ory, Type.....V-_ ---- Building
to be occupied only as SINGLE_FAMILY_RESIDENCEd ��
in accordance with Plans, Specifications and �� n file e e i
Estimated Value of Improvements, $---A ./0 C, -_
It is hereby agreed that the requirements of t�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 -_G/LjAUDE T_a LIlNDSAY.. INC. Address -..Menlo Park Evlifomffi-----------------
� ) __ / _..:C�:4r.�-"-.Address ------------------`-------- ---------------.
Contractor, Agent
Form 280-1
RECORD OF INSPECTION
Foundation
Frame ....... ---------------------------------------- ----------- --
Stucco C-/ av-
fish ------- -- -- --------------------------------------------