42758 (2) JIW OF SAN JOklmsfOrd Ct. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. 428......_. Lot No. ..... 6.__:----_ Plan
March 27, •
Date - - ...---------------------- 19. 63 Permit No..�/,2.7 s...6'... .....
Application is hereby made for a permit to --build
ched..garage___.._..._..:.---- Building
a.....1--....story, Type. a
.ac
1179 E Use Zone .R.I.8.C.-----
a+ ....-- .----......lms10-rd.-- -Our.t.... Occupancy .......
to be occupied only as --- ne-.family----.--Sl e e Parking Space .-......Z.._......
in accordance with Plans, Specifications and Plot plan filed herewith.
I t'
Estimated Value of Improvements, $j_:5 p °------------•
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 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 viol a the workmen's compensation laws of California.
Owner .. ... _,.---.-„D HO _._.._-_Address 24%_Park--Blvd,_,.-Palo_Alto_
cOnset
n
otractor Address same as above
- -
- --
Form 280-I
RECORD OF INSPECTION'
Foundation
..... ........... -------
..... Frame
Stucco
........ Finish