45395 1567 J6in6stown
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PEWIT �q -7 7,ef?
Tract No. ;!.7 0/.... Lot No.3-3...../14"W"j
Date.......OCT-2..1984'.. . ... ..... 19---------- Permit No------
Application is hereby made for a permit ............
0 ----- ........ ..B-uild-i-n.g
a-------..t......story, —-------
UseZone 17�_l...-----
at
X 0?.7.....
------------------ --- -j----!1//)_ /z//f/6rx0ccupancy ---------
to be occupied only as _/---�.2._. -- 04, Parking Space ----2--—------------
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 San Jose, will be
complied with.
I certify that in the perfo,rmance of the work for which this permit is issued I shall not employ any per-
son in any manner so s to violet the workmen's compensation laws of California.
0 manner
;��...........Address ------I.......... ------------ --------- .. . ......
Contractor
............Address ---6CHULT.ECAlvI44--D!:ty;-
ByAginit---------------------- ....................... 2633 SO. BASCOM
Form 280-1 CAMPBELL- CALIFORNIA
RECORD OF INSPECTION
Foundation �/ --iii�e /—�2
..... ------------]] �Fra -
..'..._.--.
Stucco ----------- .......................... Finish