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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Da+e-----------9 " --------------------• 1946 Permit No..3S�L3 P
Application is hereby made for a permit to .........................-------4ONSIRllGT------------------
V%RES
a..........�'-----storY, Type--------.. .^- - - --' :rr'^�--��--------------................ Building
at ----- lOT 65? AUTUMN GARDEN #2
SINGLE FA J �� R—� RjT 2013
to be occupied only as .......................m 1. rF,SIDEN 3J
in accordance with Plans, Specifications/and Plot-plan filed herewifh.
Estimated Value of Improvements, PA-/4 ^J
It is hereby agreed that the requirements of the San Jose Buildingand 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.
CLAUDE T. UNDS9Y.-- - ---i^o Real
Owner ------- Imo- Address ...-..1r�Q ' : = _;..Sy_�
---....- ... . --
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By .. /f/r/n'. r—�� 7C -r'>'B'1- Tu`- �ndress rl - -- "r -07
.V s C cor, aft yf`'.trQtts�O(i
Form 280-I Project Manager.
RECORD OF INSPECTION
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