41817 WT OF SAN JOSE _y,,nisport Drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. (��Ea_ :2*4 8 lal
Lot No. 477.......
3 Permit No. .....118.17-----------
Date... ..... .... ell
AI( Ilicflion 74hrebyle-ei a it -- --- -- ---------------- .........................a----. .._story, .rype--- . ...........I---- ------------------------------------------ Building
Use Zone —..(----------
at ..
.......... ....... ... .
Occupancy
only to be occupied o I as ./----------------- -I---- - Parking Space ----------------------
in accordance with Plans, Specifications and .Plot-plan filed herewith.
Estimated Value of Improvements, 4V—'-0--- ---
If is hereby agreed that the requirements of the San 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 performance of the work for which this permit is issued I shall not employ any per.
son in any mann as t vio to the workmen's compensation laws of California.
SCHULTE-CAMP_DEV...(;:,O.
Owner .. ...........'Address .... -------------
2833 SO. BASCOM
C.nt,.cftr
.-------............. .... ...........__..__...._..........:-Address
BYAS.nt .............CAMPBELL,.CALMORNIA....
Form 280.1
RECORD OF INSPECTION
Foundation ---- RVa. F
- -------- ------ ------------------- ----- r - 6,3---------------------- ....... -----
Stucco -------- --------- -------------------------- -- ............. Finish 1.2:7'-V