65062 (2) ` 1140 Elmsford Dr
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
// "?_3APPLICATION FOR BUILDING PERMIT
Date 11970 Permit No.
Application is here�made for a permit toA-DO TO
a_ story, Typed 'B 'din Use Zone ,6 G
at O _ , Occupancy L
lffgOL' a�ki g S ace Z
to be occupied only as .�- � � r� j�kler
in accordance with Plans, Specifications and Plot- I fled h6r�rGil'fi
Estimated Value of Improvements, $ AO o
I certify +hat in the performance of the work for which this permit is issued I shall not employ any person
in any�mannr so as fo i lat the workmen's compensation laws of California.
Owner Address
By Address
RECORD OF INSPECTION
Foundation Frame ' A
Stucco—, Finish 7 Z
1140 Elmsford Dr g Mrs H Hogg
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