34180A,,�,,� t LOT_(n_—AUTUMN GARDENS TRACT 1738
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JOSE BUILDING DEPARTMENT
APPLICATION //FOR BUILDING PERMIT
Date
Date ............................. Ig.` -- Permit No...3---.T-/-7].-.v------
Application is here y made for pe i4 CON UC7
a---0-h-e-sfory, Ty e..- -- - -- --- ------- --- -----...-----------------------------.-........-- Building
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to be occupied only as SINSLE FA LY-RESIDENCE
in accordance wi+h Plans, Specifi a c�Bnd i d re it
Estimated Value of Improveme [�/�Jb
It is hereby agreed that the requirements of tBhe fan Jose Building an ZoOrdina nces end all ocher
laws applicable to the construction, location, and use of buildings within the City of San Joie, 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.
CLgUDE T. LINDSAY, INC.1300 EI Camino Real
:Address -
Owner .......................... ... --- ...------- ---- Menlo--Railer--Gafifornia - --- — ..
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By------------------------------------------------------------- -
Agent'
Form 280-1 _ -
RECORD OF INSPECTION
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