42258 GII41)F SAN JOSE1msf ord Drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .3428......... Lot No. -21............. Plan
Date........September...27.... . .... ., 19..63-- Permit No..� ..?.1"r........
Application is hereby made for a permit to --------build
a.......1-------story, Type-----V..re- '.dent wit attached,. .garage------------------_---- Building
1165 Elmsford DriEC%c --------------
Use Zone
.�.�.. .:6..
at ........65-------....fo. d -- -----------
Occupancy ........
be occupied only as .....single--- __.it reside
n
c
e Parking Space ---------2
in accordance with Plans, Specifica •onstaind PI4IBn"fTletl � •
Estimated Value of Improvements, $----/.y.-k7t P---...-.--
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 mannerScolm
violate ie workmen's compensation laws of California.
N ILD HO Addrers2460..Par1c..B1Vd...a,__... Alto-,
Owner ._----- ... ... ........... -
Cantrador ByAy.nt-- ----- .....Address .... _-----------------------W. McFall
Form 280.1
RECORD OF INSPECTION
�AjFoundation --- Frame - -------- -------------------------------
Stucco ----------- -------- -------------------- - -- ---- --- Finish
6- y
- ----- -- ------------------------ -------------------------------