41654 (2) Elmsford Drive
1liWOF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. 34_28........ Lot No. ___
. . .2.5...........Plan
Date...... .....Marc'h...2-7 -----
---------------- Iqfi3 ... Permit No. -----------------
Application is hereby made for a permit to -----_build
- ------------------------------------- ..............
a....-1....---.story, T 'IV" residence with attached garage ....... Building
--- --- ------ -------- -------
Type.-..----- Use Zone ------
at
to be occupied only as ..one f dence Occupancy ---...L--------------
to
.....L--------------
-------------------- re P Space --------7-------------
pAing
fj e�
d er
in. accordance with Plans, Specifica Pnd lot-plan
Estimated Value,of Improvements. .............
it is hereby agreed that the requirement, of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose, will be
complied with.
I 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 Califcrnia-
AMERICAN GUILD HOMES 2460 Park Blvd. , Palo Alto
- -- -- -- - -------- --
Owner ..... ......... .. . ....Address ......same- -- --as—ab-ov.e------------------------
contractor
1�xe .. .... .. ..Address ------------------------------------------
o er a
ByAg-nt -�Wo th*&t-
Form 280.1
RECORD OF INSPECTION
Foundation ----- --- .. F
-- -- ------------ .... .... ...... ----------------------------- -------------
Stucco --- ---- ---- -- ------------ --------------- - Finish
ra