416541198 Elmsford Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. _3428 ....... Lot No. .... 40
Plan
March2q; 63Permit N�De+e_.- '19.. ... f
Application is hereby made for a permit tobuild
.................................................................
a.........----story, Type.:..---
1 "V"-residence with attached garage -------------------- Building
.-------...---- residence
---y--�
119 8 E lms fg�il.✓�� Use Zone L Q..6_.....
at . —
Occupancy ....L_.......---..
to be occupied only a,A_ne f �'�ly'resid�}encce Parking Space ...... —
accordance with Plans, Speci' fiF.ations %nd 'PI"of pken`1+ferewi#h.
Estimated Value of Improvements, $....�`/f .{,�-Q. .. -------
It is hereby agreed that the requirements of the an Jose Building and Zoning Ordinances and all other
laws applicable to the construction, locafi.n, and use of buildings within the City of San 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 violate the workmen's compensation laws of Celifcrnia.
Owner AMERICAN GU HOMES ddr ss 2460 Park.- Blvd-, Palo.. Alto
',h.;__*_
ress same as above
co.tByAg.nt ------. - ----- ---...
Robert J. M of
Form 280-1 _ -
RECORD OF, INSPECTION
Foundation -6 ---- -- 4--f kk18 --�Fr
- ------✓---- ---- ---------- ----
-- -------------- ---
Stucco - -- -- ---- --- --- -- --- - -------- ----------------- . Finis
h ---