41228CWI
OF SAN M13' ikoid BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMI-L
Tract No. 7_41a;Z. Lot No. -t:§ ------- -Plcl-V
Date .... ....... 196.9 Permit No . ...... 4./. . ...... ...........
Application is hereby r Mme �rr a r 't 4�z -,e - --- --- -- ----- - ---- -------
.......... Building
a - -z;.?----.sfory, Type.. I.. W_
at ------ - alogzl!--- Use Zone ....... .............
rOccupancy,41 ....... -----------
C.
to be occupied only as i Spa ........................
in accordance with Plans, Specifications and Plot -plan filed herewi In.'
Estimated Value of Improvements, $---/70-71 W ------------
If is hereby agreed that the requirements of the Son 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 performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
SCHULTE -CAMP DEV- CO- Address ------------
Owner ------- ------- 2633 --SO: 9A5jff67M ------------
Contractor CAMPBELL, CALJFORNjj.�
ByAg.nt -------------------------------------------------- ........ Address ............
Form 280-1
RECORD OF INSPECTION
---------------- Oram,
Foundation .1 .... . 7 - -------- -----------
Stucco ----- ---------------- -------- A
— -------- --------- ( -- ---- Finish
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