37339 (2) LJ82 St2II3hg
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---- --------------....------, 19-- x--- Permit No.s7j.3
Application is hereby made for permit t . AN,$TRV.CT-_
-a.:.:1/...------story, Type------ ....
-V-----_—_--- -----------: ri '!. ,.....---------------------- -Buildino
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at .-_�,282 JTE<ai,v,� xpyd—' DRIN"A,.O'N,#5 TRACT 1017
to be occupied only as -SINGLE.F.AMILY..RESI
in accordance with Plans, Specifications anpla 9h�
Estimated Value of Improvements, $.//1.fva................... PL,9N �`fo C:
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 laws of California.
Owner ------_..__ T,_hIHAS N ...................... .Aadres5 ----_-1300 -- Camino Real
CLAUD
Menlo Park, Califorri'ia
B �/,!y C dress -----------DA~port--l-7470-----.
et HT
Form 280-1
l Agent
i
RECORD OF INSPECTION
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