44638 1625 Jamestown
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERM
Tract No. Lot No. 2.6........._
Date......AN 2-44964- ------------- 19.6.r r 'T
Pe it No-------CiL .. ....
Application is hereby made for a permit to ..... .
. . - --------------------------------------- ----
a...... -2-----story, Type. . .. ............................Building
Use Zone -------—----------
-7—
at Occupancy ----------------------
to be occupie only as --- ------ ----------- 6�eParking Space .-..?-—------------
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 .11 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 1heo4arformance of the work for which this permit is issued I shall not employ any per
son in any manner to viola fh workmen's compensation laws of California.
Owner ... .. .. . .. .......Address
Contractor 2633 SO. BASCOM
.................
ByAg*nt-----*-------- - ................._._._........Address -----CAMP BELL—CALIFORN IA-----
Form 280-1
RECORD OF INSPECTION
Foundation 7-l3.r.G.f1 ..G ! Rame 1 — Ly� G
$fucco .............. .... -------------
---.1 .............__. FinisVx— 7: ilk.! -- --
xxx-9-l6-C�( �Gac-ea ��/ I/