41228CI F SAN Ainn"Port' BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERM
Tract No. 3 a.Z. Lot No. .I� ----------
Date ... 2%0 jl _. p21., 5--
.� -------- ----- , 19_A_g Permit No..-..-
---- --------
Application is hereby ma for 4) Permit to.... . J�44 ---------------- . ...............
1*5 _�9,l --------------- Building
a --- I;Z ------ story, Type. -,T- 1*4
at Use Zone ----------------------
ccupancy ----------------------
tkkirg Space ----------------------
to be occupied only as
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements.
It 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 Son 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.
o,te, _..SCHULTE -CAMP DEV. - ... GQ
...... Address ----- --- -------------------------------------
Contractor �biYsa-8j�SCOM
.
ByAgent ---------- CAMP@IKLI___CAUF.0RN1A. ----------- Address ----- ------------------------------------------------------
Form 280-1
RECORD OF INSPECTION
Foundation ---- 5- ?--6 .. 3.-....... ... .A"
. ............ Frame -- -- --
C. 00
Stucco 649'.
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