38881 (2) CITY&IOF SAN JOSEtelling BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMMI(T� p /
Dafa------------------------14 .-.Z....l..., 19.6..'- Permit No.--.✓--b... .p. G--------
Application is hereby made for a permit to ----------------------COIdSTRUCY
a rY,�/TyPe/J--/-J-----�--�--- --- - -- -. .... .- ------------- Building
/Q / ... .
/o' at f't�._FiZE�:CF!'y,�./kr.-r•.ccr—`--- OT SPA DEN #5 TRACT 2017
to be occupied only as 5�IRLE-FAARY-11 CE
in accordance with Plans, Specifications and Plof-plan filed herewith. 'ot A� Q
Estimated Value of Improvements, $ /J/��/� o.aa-------------- �. 'r'/ ° /` I �•'
If is hereby agreed that the requirements 't e'San Jose Building and Zoning'Ordinances and all other
laws applicable to the construction, location, arid 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.
Owner ........ IAUDE_-Tr_LINDSAY,JMC..---.Address --�.3GE)--EJ..CatT:r=2--LteaL---------
ddress _Menlo Park, --1-7 ornia
Y �:------- J. Tuan Aon" -- '
B _. $ f p� DAyenport 1.7TQ
Eorm 280-I � 0 Homo^r r .
RECORD OF INSPECTION
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Fo6ndafion 4c) —(P,?.Oo, '. & xu
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Silicco ------------------------------------------------------------ Finis --------