38067 WY OF SAN JOSE September Dr. � _BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
JAN h 11 IIS$ 3$ 0 (0 7
Da#e.------------------------------------ 19-----....... Permit No.......... ...----------------...--
Application is hereby ma a for a permit to --WHSTR ---""------------- Building
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a� �--------stor Type------------- � ------- -------LOT ------------------------------------
at ---------9_110--------SEp - ---- f ', tR _p� �. —AUTUMN GARDEN #2
to be occupied only as SINGLE_FAMILY RESIDEN�...-��jC
in accordance with Plans. Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, ---L3_s:a0- ---- -. ;DLAA) 3J�
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.
Owner --_ DE_L-LINDSAY INC._--------------------Address -.-... 300 EI Camino Real
Menlo Park, California
By ontGCra'Gm _B,-1. -Twgt6�dress ------pAvenpor1'--�407O---------
Form 280-I ------Cctor,,"A"-gent' Project Manager
RECORD OF INSPECTION
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