41654 CWOF SAN JOSE Elmsford drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. _3428------ Lot No. _32............ Plan
Date.........March_.273---- ------------
--- Permit No. ..................
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Application is hereby made for a permit to ,---.build----- -------- . ...............--------------
a--------3......story, _ga:�apge-----------------... Building
Type..
Elmsford Iffive Use Zone
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at .....1172-------- ----------h _ — Occupancy ......L-------------
1:1 - - AAzegyle_x ---- --------
to be occupied on.1, as ..�P... Parking Space --------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, ----------
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 Son Jose, will be
complied with.
I certify that in the perfcrmance of the work for which this permit is issued I shall not employ any per
son in any manner so as to �iol8fe the workmen's compensation laws of California.
OwnerAM�E CAN GUILD HOMES 2460 Park Blvd. , Palo Alto
............. - --------- -- Ad -------------------------------------------------------------
P
same as above
.,�. 'Z~dress -------------------_------------------............._---
Robert
-----------------
V
Rob e r t
Form 2801
RECORD OF INSPECTION
Foundation .... p4l�
...... ---------------------- --- Fram
stucco .-.—-------------
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