42758 (2)GSI# OF SAN JOSEL[i§fOrd Dr1VA BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT GR�
Tract No. .3428---------- Lot No. .'22 :............ Plan t u
Date.......September 27........... .... .... 19.63__ Permit No.....
Application is hereby made for a permit to -_build
----------------- ............ ......................
a ----- _1 ----- story, Type......V residence with atta�c_ed garage____________________ Building
1161 Elmsford D isf�j Use Zone 41 -6.4 ---------
at------------------------- -------_..... - ------ --- ---...
' Occupancy ....... .----.-
to be occupied only as .....sing -e familesid�A pa S eco ------- —........
in accordance with Plans, Specificatio d Plot- an fled here i ,'jj
Estimated Value of Improvements,$...�s�.....0- .._.....
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shell not employ any per-
son in any manner so as to'violata a w r 's compensation laws of California.
Owner ---
AMER . ...U_.D__HOME._.._ ._--,Address ?460__Park_.. ..._�_.Palo__Alto
contractor same as above
ByAg.nt ----- ---- - - -_ .... ......... Address ---..........-------.....---------------.-------.--- --.
Mac lm W. McFall
Form 280-1
RECORD OF INSPECTION
Foundation/.? - 2-- & 3
- ----- -------- --- Frame . - ...... - ...... ----------------
Stucco.------- ------ ------------------ -- -------- ------- ---- Finish14
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