38067 (2) CWY OF SAN JOSE September bride BUILDING DEPARTMENT
APPLICATION FOR
FOR BUILDING PERMIT
JAN Date ..1-,114---.-------- Permit No. �O 6 7 .
62
Application is hereby made for a permit to - CORSTRUCT
a----/--------.stcry, Type....----V- --`- --��--70----v`-,4�--------- - -------. Building
--- --
af .--. --....._S�.PZE..- I AUTUMN GARDEN #1
TRACT 2813
to be occupied only as .SIflGLE.......f ILY RESIDE E
in accordance with Plans, Specific ions and - an/AfIaF1'�1 erf e
Estimated Value of Improvements, $.--..-
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.
Owner CLAUD�..T .UNDSAY-INC,--------------------Address ----13o0 EI Cami^o_Real........
Menlo Park, California
By ,_// Address -------DAven +�
(�
CtQnntyptor, Agent J.-TUi'JCOn Po�..�'70/0
Form 280-1 Project Manager pi'
RECORD OF INSPECTION
oun Frame
6? Finish