65114 F (2) 1115 Elmsford Dr.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ig -70 Permit No.
Application is hereby made for a permit to
storyype j3 Use Zone
a I , T � /
at �// 5 /'m s a�U/��/ Occupancy
Co ie� Parking Space 'z-
to be occupied only as a Sprinkler
in accordance with Plans, Specification -pIM"I r w7�
Estimated Value of Improvements, $ `-& `y
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any m7ne.rfs }Oolafe the� w man's compensation laws of/Californie.
Address f/-//-f J �/Yl' %�f�"✓ it
Owner y��
Address .✓a�P
RECORD OF INSPECTION
Foundation Frame
Stucco Finish F� .�r . a7 L- 4-6
1115 Elmsford Dr . .,C/, Howard Straton/
I oaa w,o j
O — # M8311 ssewsng Aj!o esor uPS
'uaycomlddP s1yy sexuogyna'Apadostl Pug yae}}e pug easo} II^} w sl
/_ /• �# esuwl� zsoya Pµuoo Pluuo}!IPO }o PyeyS s14 P44 14se440 yueollddy
❑ Pell} yueweyPys ❑ seu.wo se
:yueaildde Aq pewlPlo Agau04 sl,esuaal� sao{aPyuop ao} PIYJo}IIPO }O 04e4S uo} yuewennbes wou} uolydwoxg