42758 (2) C11470F SAN Josip1m5fOrd Drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ..3.4.28... Lot No. .. ..12 Plan
�f-R-2o
Dafe.........---------------March 27,------------ ---------- - 19.63:... Permit No. 2 s lj_... -
Application is hereby made for a permit to ----build
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a.......1......story, Typa.TIV"..residence with"attached"".
Use Zone
garage----------------------- Building
at --" 1187...Elmsfo ��
�
A/0 ..� I B.� ....
Occupancy --------- .. ....
to be occupied only as ....one"fame residence /_Parking Space ------...�------
in accordance with Plans, Specificafior;n; nd ot- Ian flea d`h" with.
Estimated Value of Improvements, ........
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 perfcrmcnce 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 Celifcrnia.
AME ILD HO Address x+60 Park Blvd. , Palo Alto
Owner ------------------------------------- -----
--- ---
caatraaror same as above
Byng.at - - a 6 -----------Address ..._...---------------- --- - ------------
-... —..
Form 280-1
RECORD OF INSPECTION
Foundation —120......2,3--tl-3 ,2, 9 4
.. ....... Frame ........1.......--------------------------------------
Stucco ---- ------------------ --------- --------- ----------------�<F, kh
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