42758 (2) 1173 Elmsford DrW4
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. _342.8 Lot No. ......19--------- Plan FR'20
March 27° - 19----6--3----
Permit No. ���:.7J� -------------
Date............... ...h--- ..
Application is hereby made for a permit to -build
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1 'IV" residence with attached garage Building
a................story, Type...... -'----...-----'------------- ------ ---
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117 3 � Use Zone 8..1..8.6------
at
.....
a+ .... - - —Elms. . .. . 4. Occupancy
o e family residence ....�
to be occupied only as ...............................�. �� ���.P rki g Space ..._...,2.,..-__..
in accordance with Plans, Specific on�and lot-plan fi/I d F"ie with.
Estimated Value of Improvements, $...�.q. ................
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 shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
Owner AME G LD HO Address2lt60 Park_Blvd._,_--Palo--Alto.
.. . ......
Contraator -same as above
BAS.at. ...... -----------------------------
Y j. Ma ha - - - Address
Form 280-1
RECORD OF INSPECTION
Foundation .... .7..Z--13—A-3A-46..... .. Frame
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Stucco ------------------- ----- ............ Finish -------