41654CWOF SAN JOSE E1msf6rd Drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .3428. ... Lot No. ----37-..-...... Plan f Zo
Date... --- March...'.................... ----, 19.... 63. Permit No. _ le.-'Ly-------------
Application is hereby made for a permit to -_build
a........ 1...... story, Type ----- '.'.°--residence--with--asUse Zone .(PL:7.6- �tt.ached.-garage----............... Building
a+.... 1.192- D1msfQr.�/G%�%2'//✓
Occupancy ------ _C-----.----
to be occupied only as ..one £anvil residence %-Par�k, g Space ..._..Z...._.....
in accordance with Plans, Specificat, an/dd Plb+Lpiaa/if"Ifd hefg tt.
Estimated Value of Improvements, $......�.././..Q-0-.r%_..--
It is hereby agreed that the requirements of the S6n Jose Building and Zoning Ordinances and aIUthbeer
laws applicable to the construction, location, and use of buildings within the City of San Jose,
-illcomplied with.
I certify that in theperfcrmance of the work for which this Permit is issued 1 shall not employ any per-
son
son in any manner so as to violate the workmen's compensation laws of California.
RICAN4hot
HOMES Ad rest 260 Park Blvd., Palo Alto
Owner ----....--------- .....--
...
contractor same as above
ByAy.at ...............---...--...............ddress .......--------.....---- ---.....
Robert
Form 280-1 -
RECORD OF INSPECTION .1 1
Foundation --6-5-45 k -V-6 Frame �97--- --- --?, - — 3—(.,3 /Qk4 I
.. ...... -- ----- ---- - * ---- ---- - ---- --
Stucco -- --------- -------- ---------
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