42758 (2) JOSE IMabloct
illl'T�50F SAN JOSPBUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .34.28--------- Lot No. -----IS......... Plan F- --V I
Date.....March- 27, 1 -----1 19.....63 Permit No. .......
build ....
--------- ------------------------------
Application is hereby made for a permit to ---- ---------------------------------- - -- - - --------
1 1tvir edgqr�,9e--------------------- Building
a.......... .. -story, Type....... .. Use Zone ------
at ...1175 Elmsford Court-------
- - --------------------------------- 41�w6xc ccupancyone -------z-----------
to be occupied only as ................... esidence Parking Space .......Z.,---------
..................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $---- ------------
It is hereby agreed that the requirements 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 will.
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 he work n's compensation laws of California.
Owner ...*A ... .. .. --- D HO.... S-.:.- - ------Address 246QJW?k--B1,YA..p...Palo-Alto.
Contractor same as above
ByAgont-_ --------- - art J: Address ----------------------------------------------------------
tho - - ---------
Form 280-1
RECORD OF INSPECTION
Foundation --- ------43/44---- Frame
Stucco --------------
.................... ................ Finish