44638 7466 BlrhhArt
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERFAT
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Tract No. Lot No. .6 .......4-t-19
Date........JUN 241964 1 9-w/z/ Permit No—.."_1�-C
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Application is hereby mad for for a per it to ----- --- ----- ---- ----- -
-_ -----------------------
a----/--------story, Ty -- ----------- 2, ... ------------------------. Building
1� Use Zone 1_1�7_/
at .......... Occupancy -E
Occupancy
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to be occupied oAn-ily-Pas //-------i-------- Perking Space 12
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in accordance with P ta/,,,s ication P f la(0!���er with.
Estimated Value ,oVe',ts, 0",-Om -_ . r W1
It is hereby agreed that the requirements of the San Jose Bu 51d . and Zoning Ordinance, 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 oviormance of the work for which this permit is issued I shall not employ any per-
son in any manner 0 viol a workmen's compensation law, of California.,
Owner -----�X; .... .. .... .. .. ....:.....Address SCHULTt_._CAWii ---0-L
Contractor Address ------------ -------------
ByAg.nt------------------------ ................................... CAMPBELL. CALIFORNIA,
Form 280-1
RECORD.OF INSPECTION
Foundation - �-- ✓ Frame. ....._...... .. ....... ....�... ------------------- � � �
Stucco --------------.._.-_..---------------------------- Finish/_v-."�-3--c-y� .--
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