34180 898 September L0T aj:AUTUMN GARDENS TRACT
CITY OF SAN JOSE iII&DING DEPARTMENT
APPLICATION FOR BUILDING PERMITr/ J�
Date.._---- ---�----------------- 19._.`-r- 0 Permit No----�--.T../_. ...�. .....
Application is hereby made for a permit to --_CONSTRUCT
q�. -st/ory,
Type....-)(_RE$.-- /�'��a� .! ...-------'------------------......-- Building
SINGLE FAMILY RESIDENC�
to be occupied only as ------------------------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of' Improvements, $--- 'r
It ishereby 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.
1300 EI Camino Real
Owner
CLAUDE T. LINDSAY, INC. Address ----Menla.-P.ark,-..Cafifornia.---------------
--
BY --- ddress ------------------------------------------------------------.
Contractor, Agent
Form 280-1 _
RECORD OF INSPECTION
Foundation
----------- ----- Frame ------
Stucco
- -------------------------------------------------- -----