34180 842 .S2j5t(1MbitL 'LOT a.Y� AUTUMN GARDENS TRACT 2738
CITY OF SAN JOSE BUILDING DEPARTMENT
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APPLICATION FOR BUILDING PERMIT, fJ .
Date-----------1-- --.- --------------------- Permit No---------3-......�--�.11---�
Application is hereby made for a permit to -_ STRUCT------------------------------------------------
a- -.O.CL.0---story, Type----------y- - ----- ----F ' ` (---------------------------- Building
to be occupied only as -SINGLE FAMILY_RESIDE
in accordance with Plans, Specifications
r and Plot-plan filed herewith.
Estimated Value of Improvements. $.1.;2f.lJ� _(:)
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.
CLAUDE T. l DSAY, INC. 1300 EI Camino Real
Owner .---....-_...._------.- Address .....Menlo--{lark, C-arifornia...---- .....
By ! C( c $vL_ ...Address ...........................................................
Contractor, Agent
Form 280-1 _
RECORD OF INSPECTION
Foundation Y-7-
-------- Frame -----/---------- --------------------------------------- ---
Stucco ----------------------------------------- -<Finish --------------2-4�9
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