42758 (2) 111[OF SAN JOS7msf Ord Drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ...__34.2-8 .... Lo+ No. ........u...... Plan
FR- z/
Date----March .:------..�----------------- 19._63.. Permit No..-'/ �(�..-----------
Application is hereby made for a permit to ...build
1 "V" residence with attached garage Building
a.....-----..s#orY� Type--- .... ........._'--..............
1191 Elmsford Dive Use ncy A-1-d-C-------
----------------------------------------....----'----------....-------"-----'--(��/--- -- - � - � Occupancy .---- -
#o be occupied only as .one ...----__- _---_---_.? Parking Space ._.....2..._.....
in accordance with Plans, Specificati1 7 end PI #-plan (filed herewith.
Estimated Value of Improvements, `$ j / w- �
It is hereby agreed that the requirements of the Sen Jose Building and Zoning Ordinances end 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 perfcrmance of the work for which this permit is issued I shall not employ any per-
son
erson in any manner so as to violate the workmen's compensation laws of California.
AME I HOMES --Address 21,-60 Park BlvdPalo Alto
Owner --- - - --....... - ........ .......- .......
contraC1ef I Address same as above
ByAq.nt------------ ------ ----------------------.
. e t J:..MatYioC_ ...,
Form 280-1
RECORD OF INSPECTION
2
Foundation /0— ,3-7-C -3-Av,6
............. Frame, 3
I
Stucco ..... ----------- ---------- ----------------------ae:<Finish