92458 110 Elmsftrd Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
C _10_/�)
Tract No. 20 Plan
--- Lot No. .......... .......
March ......... 19.-..63.. Permit No.!?',22.>_r- --------
Date--- ----- ........... 27,...............
build
Application is hereby made for a permit to --------------_-----------_ ---------- ..... - - --------
_#J.66d garage.
a-------1 -.story, Type.....Y �*_ .'- - .- __ , __. _ __ .. ........... ..... Building
D r i��P_ kl&�-----
at ----��.6_9-----E-1-ms-f-c-rd....Drj Use Zone -_
Occupancy .-----x--------
to be occupied only as .................................
one f Parking Space ..........Z......
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.16.�` "9........ ......
if is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
lawapplicable to the construction, location, and use of buildings within the City of San Jose, will be
pp
comp% 'cl with.
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 the kmen's compensation laws of California.
v' K'
AN ILD S 60 Park Blvd., Palo Alto
.........Address ---------------------------------------------- - -- -----
Owner ------- ------- ----- ... .. ..........
Contractor same as above
J. M athot
ByAgent er .....----.Address
.........Address ----------- ------------------------ ----- ---------------
Form 2801
RECORD OF INSPECTION'
Foundation 10------ ------ Frame
...............
Stucco
00"? ...... ------ A//Finish --- ----------------------