41654 (2) I CIT1'OF SAN JOSE ELmsford Drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Trec+ No. .3�i 2g....__. Lof No. --..2g...---_.- Plan Fk'-.Z /
Da+e - ��-MdT'Ch 2']r..__-.-...- -.� 19.63__. Permi+ No..�//G—'-�-y--... -
I Applice4ion is hereby made for a permit +o ..._build�
-.... - - -........_..._ -- ..
1 ��V1' residence with attached garage
' °-----...-----s#ory, Type. .... .: ... J. _....----.._'--...............----...--��--- ---. Bu
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1158 Elm..S�__ _____ .�_�i�//V Use Zone .R_/-„(t..__--
af ..................... -- Occupency �
_._ ' .. .
.......4...._.."._.
o e family residence 2
#o be occupied only es ---......_��------.������ Parking Space .............._-_...
in accordance wifh Plans, $p� if' ions n ot-pl fi 'harewith.
Estime+ed Value of Improvemanh, $...1�I1.QD--------------------•
It is hereby egreed fhet 4ha requiremanfs of tha Sen Josa Building end Zoning Ordinences and ell other
lews eppliceble to ihe conztruction, lacation, and usa of bulldings wifhin the Cify of San Jase, will ba
' wmplied wilh. . '
I certify thef in fha perfcrmenca af tha work for which }his parmii ir issued I shall no! employ eny perv
zon in eny manner so es to violete }he workmen's compensatlon laws of Celifcrnie. .
I� �M,�B� AMI:RICAN GUILD HOMES A dress �tb�.Par,k� Blvd. , Palo Alto
.. . - -��p-�- �- - _
�,,,n.�ro, G���FL'1""�� �J� � same as above
By�a.��...�'. —.s,....... . ...... . / �.L.iC.<- - Address --..... - — - ... - - ----- ........ ,
Robert . Mathot
Form 280-I � . - -
� . . . .
� RECORD OF INSPECTION � �
Foundafion � �/��b� �Q��/� — '
I - -- ---- - -- -c.."�-_.... Frame ._..�_-� �- � � �.d'�nJ'-a-......
s+�«o ...._- -- - -... ... �� ..9..--z_3_-C� �"`�^",� ..._
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