42758C14Y50F SAN JOSiLmsford Ct. BUILDING DEPARTMENT
-APPLICATION FOR BUILDING PERMIT
Tract No. .....3428..... Lot No....... 13-------- Plan FR-2-0
March 2%�.--- 19...63.. Permit
No..�'�..:.7.�k..
Date .... .... --- --
Application is herebyMade for a permit to build
-- ---- --- ... --........ _....... - ..
1`. `--..ttached garage - Building
a....----"---.stor , T e... .... ..
Y YP -
1185 Elmsford Court se_ o Q-/.B.L_.....
one Tamil ex�"si'dence
to be occupied only as............................Y....... Parking Space .........Z,.........
in accordance with Plans. Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $..L!%.Q-ctt--0---- ---- -------- -
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 perfcrmance of the work for whichthis permit is issued I shall not employ any per
son in any manner so as to fe the workmen's compensation laws of California.
Owner 9Ms ^ rUILD HO Address 21160 Park Blvd - -- Palo Alto
caa' aror same as above
-
H ---- -- '-----'------Addresssame as
R rt-J: Mat of
Form 280-1
RECORD OF INSPECTION
FoundationFrame
Stucco -------------- -------------- -------- --------- -------- �/Finish /77'x?