41654 (2) 1180 Elmsford DrivA
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. 34.28--------- Lot No- ----3.4.......... Plan FiC' Z-
Date-------March 27'........................... 19---3.... Permit No. -----------------
Application
....----------Application is hereby made for a permit to ....build
1 "V" residence with attached garage . Building
a....---------.story, Type------ ---------................ . ..... ..
1180 Elmf Use Zone 61--B
at -----.. .......... - ------------
Occupancyy. .. .
e £ '1 residence ..._.1.........._..-
to be occupied only as ----- ......__.. ..re5 Parking Space ....._Z...........
in accordance with Plans, Speci t ions' n of-pl n Ied herewith.
Estimated Value of Improvements, $..L ./r1.0.�--------------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and ell 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 perfcrmance of the work for which this permit is issued I shell not employ any per
son in any manner so as to violate the workmen's compensation laws of California.
Owner .-..IR"obertJ.
H --_. : d ass 2460--Par_k_Blvd. ;_.Palo,-Alto
caarr.arar same as above
Byny.m dress ....... _......
01�M�
t
Form 28
0-1
RECORD OF INSPECTION -
Foundationb'�'6
. ................. ............... Frame ----7-74� 3
Stucco
---6...... Finish ....