37979i 15 64
City OF SAN JOSEStQ�ii BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
� �.. Z�/ 77 �j
Date .---------..�..�..-.3--------------------, 19_ -sl..-,... Permi# No...../... --l--/---------------
Application is hereby made for a permit to - ----------------------------------- CONSTRUC.T----------------
A/c _RES
a ------ I -------story, Typee----------------- - / - ------... ..- --- ------..........--------- .. Building
at ----- /a•Z tJ ... t T 1'o0 PRINSARD@! jFS TRACT 2017
-...-----------------------------
to 6e occupied only as------Sl@GLE-LAMILK-RES
in accordance with Plans, Specifications and Plot -plan filed herewith. ;
Estimated Value of Improvements , $------- f `_ s40---- paA
11
it hereby agreed that the, requirements of the San Jose Building and Zoning 'Ord inances 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 par-
son in any manner so as to violate the workmen's compensation laws of California.
13t�Q
--F.I Cats:i o R
eap
Owner, --CUUDE TLINDSA 1C�_....----WZr*a_----,----M------.--..
A6aress......... DAV,3r.par.t--1r-L-Q-S:O-----------
r; A ant 4• J. urgcon
Form 280-1 1294 te1'act•Mancgor. Claus;a T. Lindsay Inc.
RECORD OFANSPECTION
Founlationu C z
---------- ....... Frame
- -- - ------- ----------------------------------
S ucc .- - ------ ..... Finish ....... 46 ,1.4
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